Director, Clinical Strategy Lead

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 Director, Clinical Strategy Lead, serves as a trusted advisor to GPO Members, combining clinical expertise, formulary knowledge, and financial modeling capabilities to optimize pharmacy strategies and maximize value. This role supports GPO Members through formulary scenario analyses, rebate optimization initiatives, utilization management assessments, and pharmaceutical contracting insights, helping the member optimize formulary performance, maximize financial value, and achieve their clinical and business objectives.

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

Primary Responsibilities: 

• Deliver value to GPO Members through consultative engagements and partners closely with Account Management, Strategy, Contracting, Analytics, and Operations teams to deliver actionable recommendations supported by clinical evidence, market intelligence, and financial impact analyses
• Apply clinical, financial, and business expertise to develop and execute formulary scenario analyses, rebate optimization models, and strategic recommendations
• Partner with GPO Clinical Consultants to evaluate member formularies, utilization management criteria, and benefit designs, providing recommendations that optimize clinical outcomes and rebate performance
• Analyze the clinical and financial implications of formulary changes, preferred product strategies, biosimilar adoption, therapeutic interchange opportunities, and utilization management programs
• Read, interpret, and apply provisions within GPO agreements to support member decision-making and contracting strategies
• Access and utilize pricing, formulary, claims, billing, and utilization databases to generate actionable insights and recommendations
• Develop, execute, and interpret utilization, spend, rebate, and trend analyses to identify cost-savings opportunities and improve rebate realization
• Communicate complex clinical, contracting, and financial concepts effectively to both clinical and non-clinical audiences
• Serve as a subject matter expert on assigned therapeutic classes, market trends, and pharmaceutical contracting strategies

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:

• 2+ years of experience in three or more of the following areas: 
  • GPO Member management or client-facing consulting
  • Formulary operations, strategy, or development
  • Clinical operations (P&T committees, utilization management, or pipeline evaluation)
  • Pharmacy benefit design or implementation
  • Pharmaceutical manufacturer contracting, rebate administration, billing, or financial modeling
  • Health plan, PBM, or managed care financial analysis

Preferred Qualifications:

• 5+ years of Experience in a client-facing role supporting health plans, PBMs, GPOs, or managed care organizations
• 3+ years of clinical experience (PharmD, RN, NP, PA, or similar clinical credentials)
• Experience developing and executing formulary scenario modeling and rebate optimization analyses
• Solid understanding of pharmaceutical contracting economics, manufacturer rebate programs, and formulary management strategies
• Excellent communication, presentation, and stakeholder management skills
• Ability to simplify complex clinical and financial concepts for executive, client, and non-clinical audiences
• Demonstrated ability to operate effectively in a fast-paced environment with ambiguity and competing priorities
• Solid analytical, problem-solvin