Director, Network Pharmacy Contracting - Remote

Director Network Pharmacy Contracting

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.

You've been building towards this. We've been building towards you. The health care system needs are evolving at a fast clip and innovators like UnitedHealth Group are playing a lead role. New models of care and new networks of providers are emerging now to better serve patients and communities. Here's where you come in. As a Director within our Network Pharmacy Contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader.

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

Primary Responsibilities :

• Establishes and maintains solid business relationships with Chain, Grocer, PSAO or Specialty pharmacies in support of clients, ensuring the network composition includes an appropriate distribution of provider specialties and competitive rates
• Develops the pharmacy networks yielding a geographically competitive, broad and focused access, that achieves objectives for cost performance and trend management producing an affordable and predictable product for customers and business partners
• Demonstrate understanding of complex contract language in order to assess financial, non-financial and operational impact and legal implications of requested contract changes
• Demonstrate understanding of competitor landscape within the market (e.g., rates; market share; products; provider networks; market intelligence; GeoAccess)
• Present and discuss industry and market trends with internal and / or external groups (e.g., customer groups; brokers; professional associations; providers) in order to facilitate market strategy development and implementation
• Has a solid understanding of provider termination processes and implications
• Seek information from relevant sources (e.g., COB data; publications; government agencies; providers; provider trade associations) to understand market intelligence information
• Evaluates and negotiates contracts in compliance with client contracts, reimbursement structures, and other key process control
• Monitor and / or oversee provider financial performance to identify opportunities to improve performance and / or provider relationship
• Provides leadership to and is accountable for the performance and results through multiple layers of management and senior level leadership
• Pharmacy network contract negotiation and product support and development of geographically competitive, broad and focused access networks
• Provide leadership to a high performing team to deliver their life's best work

Job Scope and Guidelines :

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 :

Preferred Qualifications :

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). The salary for this role will range from $132,200 to $226,600 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.