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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:



United States

Postal Code:


Approximate Salary:

Not Specified

Position Type:

Full Time

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Program Manager, Formulary Management - Irvine, CA

UHG - Irvine, California

Posted: 09/7/2018

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)


You will serve as a subject matter expert in clinical programs, scope definition, risk identification, methodology and resource allocation or facilitation.  Assist with strategic initiatives crossing business teams and operating groups in coordinating and completing clinical program projects, define performance and results and manage vendors and service providers.  You will take the lead on investigating non - standard requests and problems, makes presentations to management on project updates, project cycle and expected results.  Also, ensure project documentation is accurate and projects are completed on time and within scope.  Pertinent data and facts will be reviewed to identify and solve issues and mitigate risks, prioritize your work load and work on ad hoc projects as assigned.


Primary Responsibilities:

  • Responsible for leading projects end - to - end to ensure business process activities are completed accurately and efficiently
  • Leads process design and project implementation teams in process improvement activities
  • Identifies process improvement opportunities and works with the team in developing solutions using principles of process excellence and related tools
  • Assist in the development and / or on-going management and administration of formulary strategy programs
  • Provides implementation support, measurement standards, and revisions as needed that incorporate applicable best practices with proven outcomes

Required Qualifications:
  • High School Diploma / GED or higher
  • 3+ years Formulary knowledge
  • 5+ years of PBM experience
  • 2+ years of PBM Operations experience
  • Experience with Microsoft Word including data entry and documentation creation
  • Experience with Microsoft Excel (data entry, sort, filter, work within tables, VLOOKUP, pivot tables, and utilize formulas)
  • Experience with Microsoft PowerPoint including presentation creation
  • Experience using Microsoft Access (ability to perform queries and report data)
  • Experience using Microsoft Project (develop plans, assign resources to tasks and analyze workloads)
  • Experience using Microsoft Visio (create diagrams and charts)
Preferred Qualifications:
  • Pharmacy Technician Licensed in the State of CA
  • Program Management experience
  • Claims experience
  • Marketing materials experience
OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance.  Join us and start doing your life’s best work.SM

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: Senior Clinical Program Manager, Medicare Part D, Formulary, PBM, Project Management, Pharmacy Technician, claims, Irvine, California, CA

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