Associate Director Network Management – Remote

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.

 

The role of the Associate Director, Network Management is key to contract strategy and contract negotiations and growth achievement. This individual works across Optum Pharmacies to set the vision, strategy, and drive forward the execution of payer contract renewals while continuously evaluating financial risk and opportunities.  

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

 

Primary Responsibilities:

• Growth Strategy-The Associate Director, Network Management is responsible for expanding and developing successful strategies for payer contracting across assigned existing payers, working to foster deeper partnerships with a focus on accelerating growth via payer access.  Provide payer contracting consultative expertise to various provider groups across the country
• Contract Administration-Owns contract negotiation and renewal activities for large to mid-size PBM accounts. This includes the review of payer applications and enrollment forms, all contract documents, approval process and financial modeling
• Contract Performance and Profitability-Developing overall payor contracting strategies for business growth, maximum revenue while leveraging value proposition, therapy specific capabilities and LDD access.  Establishes clients value proposition, contracting strategy, and execution of new agreements contract completion and re-negotiation rate increases 
• Contract Compliance-Maintain knowledge of contract compliance and participation requirements for all assigned payers
• Pharmacy Operations-Serve as a payer contracting subject matter expert for all pharmacy footprint activities and pharmacy operations payer and contracting specific questions
• Results & Metrics-Track, monitor and report out individual performance metrics and KPI as requested by leadership. Develop and maintain payer scorecards demonstrating year over year financial performance, relationship status, headwinds and tailwinds
• Collaboration-Partner with senior and executive leadership on strategic planning, including identifying and developing strategic initiatives around growth through contracting. This role is uniquely positioned to partner with all functional areas including but not limited to, licensing, legal, operations, compliance, finance, marketing and product teams to support the business while ensuring existing business continues to meet overall requirements and performance

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:

• 3+ years of PBM Network-Health plan Contracting experience  
• 3+ years of client/account management 
• 2+ years of experience with rate structures and finance components, including but not limited to budget, reimbursement formulas and profit & loss statements 
• Intermediate level of Microsoft Office skills (PowerPoint, Excel, Word) 

 

Preferred Qualifications:

• 2+ years business development and/or sales 
• Program management and or process improvement experience 
• Value based contracting knowledge 
• Proven growth minded individual with the ability to articulate buyers needs and help translate to business opportunity 

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

 

California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

 

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.

 

 

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.