Director Pharmacy Value Economics - Remote

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, Pharmacy Value Economics is accountable for leading the national measurement, forecasting, and realization of pharmacy value across Optum Health, with an initial focus on manufacturer-funded programs and rebate economics that support clinically appropriate, evidence-based medication strategies. This role owns the pharmacy value economics framework and leads a team that collaborates with matrixed partners such as finance, actuary, and accounting for forecasting, financial performance measurement, net cost analytics, opportunity sizing, executive value reporting, and value realization governance.

The Director translates financial, utilization, and market data into enterprise-level recommendations that balance affordability, access, quality, appropriateness, and sustainable value creation.

While initially focused on rebate programs, this role is designed to lead the evolution of a broader pharmacy value economics capability supporting manufacturer strategy, value product initiatives, affordability programs, and total cost of care improvement. The role operates as a dyad partner to clinical and analytics leadership teams, ensuring insights are grounded in appropriateness, operational feasibility, and enterprise value priorities while establishing consistent methodology, governance, and reporting standards.

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

• Pharmacy Value Economics Strategy
  • Own the pharmacy value economics framework across Optum Health, including methodology, governance, financial performance standards, and value realization reporting
  • Establish methodologies to measure rebate performance, yield, value realization, and return on investment
  • Lead prioritization and execution of rebate, manufacturer value, and pharmacy affordability opportunities in partnership with clinical, finance, analytics, and market leadership
  • Evaluate net cost effectiveness post rebate with Clinical Pharmacy Insights to ensure recommendations are clinically appropriate, affordability-aligned, and compatible with Optum Health Pharmacy Value & Therapeutics Committee guidance
• Forecasting & Financial Performance
  • Lead national forecasting methodologies for rebate revenue, manufacturer value programs, value product opportunities, and market expansion initiatives
  • Develop financial models and executive business cases that support strategic planning, investment decisions, affordability initiatives, and value realization commitments
  • Monitor forecast accuracy and identify key drivers impacting performance
  • Identify variance between vendor estimates and actual performance, including drivers of financial impact, leakage, and realized value
• Analytics & Insights
  • Own executive dashboards, scorecards, KPIs, and value reporting that inform senior leadership decisions and enterprise performance management
  • Produce actionable insights related to rebate performance, net cost optimization, utilization trends, value capture, and affordability opportunities
  • Translate data and analytic conclusions into concise executive-level narratives, recommendations, and decision support materials
• Revenue Leakage & Opportunity Identification
  • Identify revenue leakage and value capture gaps across rebate and manufacturer-funded programs
  • Quantify opportunity size and prioritize improvement initiatives
  • Drive accountability with operational teams to ensure identified opportunities translate into measurable and sustained realized value
• Industry Intelligence & Market Analysis
  • Monitor trends affecting pharmacy value, including pharmaceutical market dynamics, biosimilar adoption, reimbursement changes, and regulatory developments
  • Assess the impact of initiatives such as Medicare Drug Price Negotiation (MFP), Inflation Reduction Act provisions, and evolving manufacturer strategies
  • Develop scenario analyses and strategic…