Director Network Contracting - Remote

UnitedHealth Group•Eden Prairie, MN

20h•$134,600 - $230,800•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 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. As a Senior 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 6 leader. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

Proven extensive experience developing pricing & utilizing financial modeling in making rate decisions
Proven experience interacting with executive leadership
Proven experience leading a team of direct reports
Proven experience understanding financials and explaining details

Nice To Haves

Proven extensive experience in a healthcare contracting related role (Medical/Pharmacy/Pharmaceuticals, etc.) overseeing complex relationships with accountability for business results
Proven experience with large scale negotiations (min 2B/contract or greater)
Proven experience with client presentations (verbal and PowerPoint creation)
Proven sales experience

Responsibilities

Establishes and maintains solid business relationships with provider pharmacies in support of clients, ensuring the network composition includes an appropriate distribution of provider specialties, competitive rates and access to limited and exclusive drugs
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) to facilitate market strategy development and implementation
Have 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