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Senior Manager Pharmacy Network Contracting - Remote

Company: UnitedHealth Group
Location: Charlotte
Posted on: November 20, 2023

Job 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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. -
As Senior Manager, Network Pharmacy Contracting within OptumRx, you will help with setting effective drug pricing within our provider networks to meet client and pharmacy contract guarantees through financial and network pricing modeling, analysis, and reporting. As you do, you'll find that you can make a real impact while enjoying the resources, backing and opportunities that you'd expect from a Fortune 5 leader.
Ready for a challenge? You will need all your leadership skills and creativity as you manage and develop provider networks that achieve performance objectives. As a result, there is a high level of visibility and accountability for results.
About You:You've been working your way to this opportunity for some time now. Now that you've learned to lead and build a deep analytics expertise, it is time to set your sights on having an impact in more ways. Join our management team and help UnitedHealth Group meet the challenge of shaping where health care will go.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. -
Primary Responsibilities:

  • Apply experience to lead negotiations with partnering pharmacy providers. Assure optimal value and mitigation of risk to drive goals and achieve metrics on behalf of ORx and its clients
  • Strategize which external partnerships to pursue based on risk, value, and feasibility of value-based opportunities
  • Facilitate contract strategy for value-based agreements, and innovative partnership strategies
  • Collaborate with internal partners to ensure ongoing execution of processes are in line with contractual obligations
  • Assist in data generation and collateral for senior leadership business updates
  • Utilize exceptional organizational skills in the management of OptumRx contracts including but not limited to ensuring accurate/timely data, generating reports, and tracking monthly performance & adherence metrics
  • Be on point as the SME for Provider contracting related queries for our provider relations help desk

    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.
    One year of post-high school education can be substituted/is equivalent to one year of experience.
    Required Qualifications:

    • 5+ years of experience in any of the three: -

      • PBM/ Healthcare pricing
      • Process Improvement/transformation
      • Performing business/financial analysis
      • External consulting/auditing risk analysis
      • Healthcare and managed care experience
      • Customer journey/experience
      • Data visualization experience with Tableau or Power BI -
      • Process improvement / project management experience -

      • Value Based Contract experience, with a focus on negotiation

        Preferred Qualifications:

        • Pharmaceutical and drug industry experience / background -
        • Advanced experience utilizing PowerPoint and Excel

          *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. -
          - -California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $85,000 to $167,300 per year. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. - -
          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. - - - -Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. - - - - -UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. - -

Keywords: UnitedHealth Group, Charlotte , Senior Manager Pharmacy Network Contracting - Remote, Executive , Charlotte, North Carolina

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