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 startCaring. Connecting. Growing together.
The Clinical Platform Capability & Requirements Lead is responsible for defining, documenting, and managing business and functional requirements for enhancements to the MedMonitor platform, with a primary focus on supporting clinician network growth, Comprehensive Medication Review (CMR) program expansion, and operational scalability.
This role serves as the primary bridge between Clinical Operations, Pharmacy Network Management, Health Plan partners, Health Systems, Clinician Groups, third-party vendors and Information Technology teams to ensure MedMonitor capabilities effectively support the routing, assignment, management, and reporting of Comprehensive Medication Review (CMR) opportunities across a diverse network of pharmacies and healthcare providers. The position will work closely with IT teams throughout the software development lifecycle, from requirements gathering and solution design through testing, implementation, and ongoing enhancement of platform capabilities.
The ideal candidate will possess strong healthcare business analysis skills and experience translating complex operational needs into scalable platform capabilities that improve clinician engagement, network performance, workflow efficiency, and patient outcomes.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Lead the identification, definition, and prioritization of MedMonitor platform enhancements that support clinician network growth and clinical program expansion
- Develop business cases and capability roadmaps aligned with organizational growth objectives
- Evaluate current platform functionality and identify opportunities to improve workflow automation, scalability, reporting, and user experience
- Collaborate with business and technology stakeholders to define future-state platform capabilities
- Facilitate stakeholder interviews, workshops, and requirements-gathering sessions
- Support solution design reviews to ensure requirements are fully represented
- Translate business needs into:
- User stories
- Process flows
- Use cases
- Acceptance criteria
- Business requirements documents (BRDs)
- Feature specifications
- Ensure complete traceability between business objectives, requirements, development, testing, and implementation
- Manage and maintain enhancement backlogs and feature prioritization
- Facilitate stakeholder interviews, workshops, and requirements-gathering sessions
- Support solution design reviews to ensure requirements are fully represented
- Develop and execute User Acceptance Testing (UAT) plans
- Validate delivered functionality against business requirements and acceptance criteria
- Support implementation, change management, and post-launch optimization activities
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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's degree in Pharmacy or PharmD degree
- Active Pharmacist license in good standing
- 3+ years of experience in healthcare business analysis, product ownership, healthcare technology, or clinical operations
Preferred Qualifications:
- Excellent communication, facilitation, and stakeholder management skills
- Strong attention to detail
- Demonstrated project management and time management skills
- Ability to effectively manage multiple priorities and meet deadlines
- Bachelor's degree in Information Systems
- Experience gathering and documenting business and functional requirements
- Experience working with or supporting healthcare technology platforms including Optum's or platforms used by Pharmacies, Health systems, Provider groups or Health plans
- Strong understanding of healthcare workflows and operational processes
- Experience supporting Agile development teams and product lifecycle management
- Knowledge of pharmacy operations, health plan clinical programs, and provider network management
*All Telecommuters 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 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
***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.
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