Senior Director, Clinical Pharmacy Coding - Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company 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 reputed company 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 position reports to the Vice President, Clinical Strategy & Operations reputed company the Client Clinical Services function. The Sr. Director, Clinical Pharmacy Coding serves as the leader of a team of clinical pharmacists and analysts that are responsible for providing clinical, technical, and operational support over the internal adjudication and formulary management systems and processes. This leadership role provides reputed company, support, and consultative guidance to the assigned Clinical Coding Pharmacists who support OptumRx's clinical consultants, formulary operations, benefit operations management (BOM), information technology, and other internal departments. This individual is relied upon to ensure the assigned team members successfully execute their role in consulting, reviewing, designing & testing the custom formulary & utilization management changes. You'll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Provides reputed company & support to Clinical Coding Pharmacists to help ensure superior, high quality clinical coding for a variety of custom coding formulary builds, corrections, and global projects reputed company to a defined set of custom clients
• Spearhead cross-functional operational improvement initiatives working with multiple OptumRx teams to streamline the way we deliver and manage clinical reputed company processes
• Ensure the assigned team members successfully execute their role in consulting, reviewing, designing & testing the custom formulary & utilization management changes
• Recruit, train and manage new team members to support for new client implementations
• Ensure team members have access & training to the various systems & tools to support custom coding efforts including but not limited to RxClaim, RxBuilder, Showcase, Attachmate and RxClaim batch queries
• Ensure that assigned tasks to team members are completed in the defined time period & meet or exceed client level performance guarantees
• Define & manage custom formulary client assignment to assigned team members
• New client implementation reputed company & support for reputed company clinical coding documentation, rule specifications & system design efforts
• Conduct annual performance reviews & establish personal development plans for reputed company assigned team members
• Analyze data and prepare management summaries reputed company to work reputed company results, performance mgmt. results
• reputed company quality audits, determine performance gaps and root causes, prepares reports and collaborates on remediation
• Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff

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:

• Bachelor of Science in Pharmacy or Pharm D
• reputed company and unrestricted Pharmacist license (any U.S. state)
• Experience working as a Clinical Consultant or Clinical Pharmacist working in Formulary/UM operations or Benefit administration
• 1+ years of clinical client-facing (beyond patients and prescribers) and/or formulary consulting experience
• Experience participating in or leading cross department client implementation projects
• Experience conducting claims/coding research and analysis
• Experience working in RXClaim or other claims adjudication system
• Experience with MS Office suite

Preferred Qualifications:

• MBA or equivalent advanced degree
• Experience using reputed company Access or other database/query tools
• Experience working reputed company a PBM
• Experience with Medispan drug classification system
• People leadership experience (direct reports)
• reputed company employees working remotely will be required to adhere to reputed company'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 (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $132,200 to $226,600 annually based on full-time employment. We reputed company with reputed company 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 reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, 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. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job