Associate Director Network Contracting - Remote

UnitedHealth Group•Schaumburg, IL

14h•$112,700 - $193,200•Remote

About The Position

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

Requirements

5+ years of experience with network contracting or provider relations
5+ years of experience with PBM or pharmacy contract management
Experience with Pharmacy contract pricing & reimbursement modeling
Experience managing large chain or client experience managing a national chain or national pharmacy chain or national account greater than 5M in revenue
Experience working in a highly matrixed/cross-functional environment
Demonstrated understanding of and utilize applicable financial tools and reports (e.g., internal financial models; external reports) to develop rates
Demonstrated understanding of contract language in order to assess financial and operational impact and legal implications of requested contract changes
Demonstrated understanding of competitor landscape within the PBM market (e.g., rates; market share; products; provider networks; market intelligence; GeoAccess)
Demonstrates understanding of key pharmacy reimbursement models
Demonstrated ability to utilize appropriate contract management systems to author and execute contracts and to access supplemental contractual documents

Nice To Haves

3+ years of experience developing financial modeling, pharmacy reimbursement modeling, pharmacy market intelligence
3+ years working cross functionally with teams including but not limited to, Industry, Network, Client, Clinical, Sales, Analytics, Business Development, Finance
Experience using Tableau, PowerBi Salesforce, and GeoAccess
Must be able to accommodate CST or EST work schedule
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Responsibilities

Establishes and maintains strong business relationships, and leads complex negotiations with Chain, Grocer, PSAO or Specialty pharmacies in support of clients
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 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 to yield strong financial results for Optum Rx