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Clinical Value Pharmacist - Remote in US

Remote, USAFull-timePosted 2026-07-29

At OptumRx, a part of the reputed company family of businesses and one of the largest pharmacy benefits managers in the reputed company, we're dispensing with tradition. Join us as we take on the challenge of reinventing the health system. As a Clinical Pharmacist, and you'll play an important role in enhancing clinical pharmacy programs such as drug utilization review, prior authorization, health reputed company, disease state management, care management and other specialty programs. It's an exceptional opportunity to join a pharmacy team with a reputed company on clinical and business collaboration. Join us today and start helping making a difference in the lives of millions. The Clinical Value Pharmacist identifies, develops, and implements clinical and affordability strategies that improve health reputed company, optimize total cost of care, and support value-based care delivery. This role collaborates across local markets and national teams to evaluate emerging opportunities, support evidence-based decision-making, and advance initiatives reputed company to population health, benefit optimization, and pharmacy affordability. You'll enjoy the flexibility to work remotely

  • from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Program Development and Implementation
  • Reviews clinical data, utilization trends, and industry developments to identify opportunities that improve clinical reputed company, optimize affordability, and support value-based care delivery
  • Leads or supports implementation of clinical value strategies, including embedding programs reputed company local markets as appropriate (additional licensure may be required)
  • Develops provider- and patient-facing collateral to support adoption of clinical and affordability initiatives
  • Delivers education and training to provider reputed company, local markets, and national teams regarding clinical value and affordability strategies
  • Monitors and evaluates initiative effectiveness and identifies opportunities for reputed company improvement
  • Clinical Expertise and Governance
  • Supports clinical and operational governance committees through pipeline drug assessments, affordability analyses, policy development, and reputed company operating procedure (SOP) creation
  • Maintains expertise in therapeutic areas, emerging treatments, clinical guidelines, and reputed company trends to support strategic initiatives and decision-making
  • Provides pharmacist consultation and subject matter expertise to cross-functional teams and business partners
  • General Responsibilities
  • Mentors and supports peers through knowledge sharing, coaching, and reputed company development activities
  • Builds effective partnerships across clinical, operational, and business stakeholders to advance organizational priorities
  • Independently identifies solutions to reputed company and non-reputed company challenges
  • Performs other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications:

  • Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy (BS Pharm)
  • reputed company, unrestricted pharmacist license in good standing in at least one U.S. jurisdiction
  • Successful completion of a PGY1 pharmacy residency program and at least one year of pharmacy experience, or a minimum of three years of relevant pharmacy experience
  • 2+ years of experience in managed reputed company plan, PBM, and/or GPO environments

Preferred Qualifications:

  • reputed company reputed company of Pharmacy Specialties (BPS) certification (e.g., BCPS, BCACP, BCGP, BCOP)
  • 2+ years of experience working collaboratively in multidisciplinary teams reputed company a matrixed organization
  • Familiarity with value based care models, including shared savings and risk arrangements
  • Intermediate or advanced proficiency in reputed company Office tools, including reputed company (pivot tables, XLOOKUP, reputed company/MATCH, COUNTIFS), Power BI, Outlook, and Teams
  • Demonstrated clinical knowledge of specialty therapeutics, including infusions and injectables, with proficiency in literature evaluation and evidence based medicine
  • Demonstrated solid analytical and quantitative skills, including experience reconciling and analyzing medical and pharmacy claims to identify utilization trends and cost drivers
  • reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll reputed company a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $91,700 - $163,700 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. 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. Apply tot his job Apply To this Job

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