Clinical Program Manager Schaumburg or Chicago IL

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

As a Clinical Program Manager, you will be the primary point of contact for flawless execution of the Care Partner Program. This is your opportunity to join a clinical team that is focused on business collaboration, program enhancement, new product development and innovation. You will find an incredible team culture that provides opportunities to learn and evolve every day.

On a daily basis, you will be responsible for successful program performance, coordination of teamwork across teams, and building relationships with external and internal stakeholders. Key functions of the Clinical Program Manager include business case development, tactical program execution, platform expertise, issue resolution, client support, contract paperwork and process development. The role will also be required to understand compliance requirements and measures.

This position is based out of Schaumburg, Illinois.

Primary Responsibilities:

  • Support the development of clinically sound alerts, case management workflows, and talking points for the program
  • Lead the review of network contract paperwork, Performance Guarantees, and incentives
  • Client relationship management - provide responses to drug information requests, assess, and interpret customer needs and requirements and identify creative solutions to non-standard requests
  • Help establish Standard Operating Procedures, support improved tracking/measurement of Key Performance Indicators and streamline current processes to promote better autonomy and ownership of functions
  • Coach, provide feedback and guide others; acts as a resource for others with less experience
  • Given time - sensitive issues required by CMS and other regulatory bodies, there may be times that extended work hours are required to ensure deliverables are met in a timely manner

Program Management:
  • Ability to interpret competitive intelligence, industry and market trends, and customer feedback
  • Ability to develop sound business cases and cost / benefit analyses to support product efforts
  • Ability to translate ideas into strategies, define plan for those strategies, and work cross-functionally to seamlessly execute against plan
  • Support the development of compelling market messages
  • Navigate and influence multiple cross - functional teams in a complex, matrix work environment, which may require working across Optum and UHG business units
  • Manage cross - segment projects and initiatives that require influencing and analyzing
  • Works with leadership to determine appropriate success metrics with which pilots and / or general available products will be evaluated

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:
  • Current and unrestricted pharmacist licensure in IL
  • PharmD or bachelor's degree in Pharmacy
  • 3+ years of experience working as a clinical pharmacist
  • 3+ years of Managed Care experience OR Clinical Program Development/Clinical Program Management experience
  • Ability to navigate MS Office and a Windows based environment
  • Ability to navigate Outlook and conduct Internet searches
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.

Preferred Qualifications:
  • Managed Care experience
  • Experience with Medication Therapy Management (MTM)
  • PBM experience
  • Pharmacy residency experience
  • Medicare Part D experience
  • Knowledge of the product lifecycle management
  • Experience and comfort level with presentations and storytelling
  • Willingness to think creatively to streamline or improve current tasks
  • Ability to multi-task and keep organized across competing priorities

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while 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.

Job Keywords: Pharmacist, RPh, PharmD, Clinical Pharmacist, Managed Care, Clinical Program Development, Clinical Program Management, Medication Therapy Management, PBM, Medicare Part D, Product Management, Schaumburg, Chicago, IL, Illinois