Description

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.

We are seeking a Board-Certified Oncology Pharmacist (BCOP) to join our dynamic clinical pharmacy team. This fully remote role supports oncology-focused utilization management, fraud detection, and patient care initiatives for a federal client. You will play a critical role in ensuring appropriate, evidence-based use of oncology therapies while supporting regulatory compliance and optimizing patient outcomes at both the population and individual patient levels.

Why Join Us:

• 100% remote work with flexible scheduling
• Opportunity to shape oncology care delivery at the population level in a defined program
• Collaborative, mission-driven team environment
• Competitive compensation and benefits
• Career growth in a leading healthcare organization

Schedule: Full-time, Monday-Friday, core hours based on time zone

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

Primary Responsibilities:

• Evaluate complex oncology regimens, high-cost specialty medications, and atypical prescribing patterns for clinical appropriateness
• Provide subject matter expertise in oncology pharmacy to internal teams, clients, and external stakeholders
• Participate in the development and refinement of oncology clinical criteria, workflows, and program enhancements
• Collaborate with a multidisciplinary fraud and compliance team to triage flagged cases and escalate those requiring clinical expertise
• Support user acceptance testing (UAT) for system updates and clinical decision support tools across the program
• Maintain up-to-date knowledge of primarily oncology treatment guidelines, emerging therapies, and FDA approvals
• Conduct clinical reviews of oncology-related prior authorization requests and other nonformulary medications, ensuring alignment with evidence-based guidelines, benefit design, and regulatory requirements
• Perform retrospective drug utilization reviews of injured persons as part of Optum's Clinical programs to include advice on medications and treatment plans (based on review of medical case notes and medication list) to improve outcomes and avoid potential drug interactions
  

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:

• Active, unrestricted, U.S. pharmacist license in state of residence
• Board Certification in Oncology Pharmacy (BCOP)
• 3+ years of clinical oncology pharmacy experience
• Proven solid understanding of oncology treatment protocols, specialty pharmacy operations, and utilization management
• Proven excellent communication, critical thinking, and documentation skills
• Ability to be comfortable working independently in a remote, fast-paced environment

Preferred Qualifications:

• Experience with fraud, waste, and abuse (FWA) detection or compliance programs
• Demonstrated familiarity with federal regulations, especially as they relate to oncology medications
• Experience supporting federal or state healthcare programs (e.g., Medicare, Medicaid, DOL, VA)
• Proficiency with MS Office products including but not limited to Outlook, Word, Excel, PowerPoint, TEAMS
• Experience in managed care, PBM, and/or health plan setting

*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 $91,700 to $163,700 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.

Requisition #: 2338379

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Requirements