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VP, Network Pharmacy Contracting - Telecommute

Company: UnitedHealth Group
Location: Eden Prairie
Posted on: September 23, 2022

Job Description:

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) - 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 Vice President 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 telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:

  • Establishes and maintains strong 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, stable 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 controls
  • 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
    Job Scope and Guidelines:
    • Develops, translates and executes strategies or functional/operational objectives for a region, line of business, or major portion of a business segment functional area
    • Extensive engagement with both internal and external senior leadership
    • Directs others to resolve highly complex or unusual business problems that affect major functions or disciplines
    • Drives programs that impact markets of customers and consumers


      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:
      • Undergraduate degree or equivalent experience
      • 10+ years of management experience in a pharmacy network management-related role handling complex network providers with accountability for business results
      • 8+ years of experience in developing of product pricing and utilizing financial modeling in making rate decisions
      • 5+ years of experience with provider contracting
      • Experience interacting with executive leadership -
      • Experience leading a team of direct reports -
      • Experience understanding financials and explaining details -
      • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
        Preferred Qualifications:
        • Advanced degree -
        • RPh or legal degree -
        • Experience with client presentations (verbal and PowerPoint creation)


          To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm) Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $134,200 to $257,700. The salary range for Connecticut / Nevada residents is $134,200 to $257,700. 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. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. #optumcorp

          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, Eden Prairie , VP, Network Pharmacy Contracting - Telecommute, Other , Eden Prairie, Minnesota

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