Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
In this role, the Operations Manager will partner cross functionally to develop, implement, monitor, and maintain Therapy of Excellences for Optum Specialty Pharmacy. In this role, collaboration with departments across front end operations, as well as P&L leaders, clinical services teams, pharma relations, finance, consumer experience, digital capabilities teams, legal and human capital will be critical to success. The successful candidate will have deep operational experience within specialty pharmacy, as well as a growth mindset to remove patient barriers to healthcare, while delivering on a market leading level of service.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Continuous refinement of the Center of Excellence (COE) in partnership with specialty leadership
- Lead on program implementations and contribute to business process design, including systems setup, trouble shooting, and updates
- Research drug releases and develop COE programs as needed to support drug utilization reviews, prior authorizations, outcomes, and disease state management
- Collaborating and influencing with key partners to develop and monitor clinical and operational activities to ensure effective and efficient performance; continuing to strive for operational excellence
- Creating and monitoring action plan to improve COE operational KPIs
- Develop and maintain best practices and clear standard operating procedures that can be effectively utilized and executed to drive highly efficient business operations processes
- Promoting a positive environment for staff and identifies and works with business leaders to address any issues that are creating barriers to an optimal work environment
- Ensuring health equity goals are achieved through partnership with front end and call center leadership
- Collaborating with technology & capabilities partners to drive operational efficiencies
- Evaluates market trends and industry capabilities to understand and recommend how to position for a competitive advantage for the best client experience
- Developing a seamless Prior Authorization/Appeals process that aligns with business objectives
- Monitoring NPS and creating service improvement plans to enhance the patient, colleague, and provider experience
Knowledge, Skills and Other Abilities
- Behave Ethically: understand ethical behavior and business practices, and ensure that own behavior and the behavior of others is consistent with these standards and aligns with the values of the organization
- Build Relationships: establish and maintain positive working relationships with others, both internally and externally, to achieve the goals of the organization
- Communicate effectively: Speak, listen and write in a clear, thorough and timely manner using appropriate and effective communication tools and techniques
- Creativity/Innovation: develop new and unique ways to improve operations of the organization and to create new opportunities
- Focus on Client Needs: anticipate, understand, and respond to the needs of internal and external clients to meet or exceed their expectations within the organizational parameters
- Foster Teamwork: work cooperatively and effectively with others to set goals, resolve problems, and make decisions that enhance organizational effectiveness
- Lead: positively influence others to achieve results that are in the best interest of the organization
- Make Decisions: assess situations to determine the importance, urgency and risks, and make clear decisions which are timely and in the best interests of the organization
- Organize: set priorities, develop a work schedule, monitor progress towards goals, and track details, data, information and activities
- Plan: determine strategies to move the organization forward, set goals, create and implement actions plans, and evaluate the process and results
- Solve Problems: assess problem situations to identify causes, gather and process relevant information, generate possible solutions, and make recommendations and/or resolve the problem
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Bachelor of Science in Pharmacy or Doctorate of Pharmacy
- Board Certified Oncology Pharmacist
- 10+ years progressive leadership in operational or clinical roles
- 5+ years specialty pharmacy operations experience
- Experience developing, implementing, and operating new services
- Experience influencing cross functional teams in a matrixed organization
- Ability to travel up to 25%
Preferred Qualifications:
- PBM experience
- Experience analyzing data and using it to drive business decisions
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
The salary range for this role is $106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.