Pharmaceutical Research Consultant

4 days ago


County Dublin, Ireland Unitedhealth Group Full time

At UnitedHealth Group, we are committed to helping people live healthier lives and making the healthcare system work better for everyone.

We believe that everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances.

As a Clinical Pharmacist with our team, you will play a critical role in advancing this mission by leading drug information research, evaluation, and reviews related to drug discount contracting and the wider OptumRx Ireland Team.

This position is part of a cross-functional division managing formulary placement strategies for over 60 therapeutic classes to the lowest net cost for OptumRx clients.

Key Responsibilities:
  • Research upcoming drug releases and treatment guidelines
  • Develop and maintain pharmacy programs, including formulary lists, drug utilization review, prior authorization, health outcomes, disease state management, care management, and specialty programs
  • Present at Pharmacy & Therapeutics Committee
  • Interpret pharmacy programs to write clinical guidelines, job aids, and decision trees
  • Write and collaborate on member/provider collateral materials for pharmacy programs
  • Contribute to business process design and systems setup, troubleshooting, and updates
  • Review programs for compliance to state, federal, and CMS regulations and recommend remediation
  • Monitor impending legislation for potential impact to current and future programs
  • Analyze data and prepare management summaries related to work stream results, performance management results, audit results, CMS reporting, and client reporting

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