Remote Wellness Program Director Jobs in Raleigh, NC

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.   

The Specialty Account Sr Director will oversee will provide oversight and will have overall accountability for the effectiveness of the Specialty Pharmacy benefit program for a large regional health plan. The Specialty Account Director is responsible for Specialty execution and/or support on all clinical strategies, patient care support, Specialty Drug list consultation and quality initiatives. Additionally, the Specialty Account Sr Director will also participate in quarterly business reviews detailing pipeline tracking, including forecasting, key performance indicator (KPI) review, strategic guidance, and comprehensive medical management initiatives. The Sr. Director is accountable for direct management of a staff of specialty account directors, as well as other personnel and assumes ultimate ownership and accountability for client relationships, retention, and satisfaction levels within their area of focus.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Determine and manage specialty account resource allocation and assignment
• Provide routine reporting to client management leadership regarding milestone attainment and any significant issues within their segment that may be impacting overall team performance
• Maintains understanding of individual client contracts and ensures proper execution of all relevant deliverables specific to those agreements
• Develop department goals and ensure departmental execution
• Work with the Client Management Leadership Team to establish strategic goals and objectives
• Provide routine reporting to the Executive Leadership Team regarding milestone attainment and any significant issues within the segment that may be impacting overall performance
• Collaborates with clients to establish achievable but aggressive specialty program goals, including support on patient care support, Specialty Drug list consultation and quality initiatives
• Formulates and delivers clinically-sound and fiscally responsible recommendations to clients based on trend
• Create and maintain departmental policies and procedures
• Create action plans to address any client satisfaction concerns
• Provides mentoring / coaching for Specialty Account team in order to enhance employee engagement, promote professional development and maintain high levels of staff satisfaction
• Assist in the recruitment, on-boarding and mentoring of new Specialty Account team members
• Stays aware of and provides market intelligence to clients on specialty pharmacy products
• Provides education for clients, pharmacists, members and physicians per contractual requirements
• Supports strategies around other revenue-enhancement efforts (e.g., specialty, formulary, UM, mail, etc.) in coordination with client mgmt./sales teams where appropriate
• Routinely collaborates with client management leadership peers to provide well-coordinated, impactful quarterly performance review sessions with clients
• Serves a key resource for new clinical product/service ideation and liaison to clinical product development / management areas to create new or enhance existing programs
• Identifies and collaborates with clinical management leadership on specialty management strategies
• Drives enhanced client relationships through senior-level strategic discussions and planning which addresses issues of highest priority for the client
• Consistently looks at existing processes, methods, and materials to find opportunities for improvement
• Maintains strategic relationships with client leaders, key stakeholders, and brokers/consultants
• Serves as Subject Matter Expert (SME) for other departments on Specialty Pharmacy-specific issues/inquiries
• Lead departmental and interdepartmental workgroup and project work

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 Doctor of Pharmacy degree
• Active, unrestricted US state-specific pharmacist license
• 4 years of experience in PBM cost of care
• 2 years of experience in market access
• 2 years of experience leading a team of professionals or equivalent leadership experience
• Experience in complex product and/or client sales process and negotiations
• Experience working within a managed care environment and/or PBM
• Proficiency in Microsoft Word, Excel, PowerPoint, Teams, and Outlook
• Travel up to 25% of the time

Preferred Qualifications:

• MBA or similar advanced degree
• Experience building and delivering Clinical Programs
• Experience in Market Access and specialty pharmacy
• People leadership of 3 or more direct reports
• Demonstrated success in metrics-driven roles, consistently delivering positive outcomes and measurable results

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $134,600 to $230,800 annually based on full-time employment. We comply with all 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.

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.