Our Ability Jobs

Director of Network Contracting – Remote Nationwide

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.

About the Role:

As a Fortune 5 business, we’re one of the world’s leading healthcare companies. There are no limits here on the resources you’ll have or the challenges you’ll encounter.

We have been supporting global healthcare systems from Ireland and the UK for more than 20 years, building a dynamic and diverse team of more than 2,100 talented individuals. With a continued record of growth and stability, we're on the constant lookout for fresh talent to join our expanding teams.

OptumRx is looking for a curious and self-motivated individual to identify and develop strategies that leverage the full breadth of Optum assets to solve healthcare’s biggest challenges in the area of pharmacy services. This role will be responsible for understanding the needs of industry partners and developing business solutions using the data and capabilities of Optum. We are looking for people that can collaborate with business partners, anticipate future industry needs, and have strong financial acumen.

Primary Responsibilities:

• Anticipates senior leadership team needs and proactively develops solutions to meet them.

• Solves complex problems and develops innovative solutions.

• Accountability for developing contract offer drug pricing for large pharmacy groups, long term care pharmacies, and independent pharmacy in the US.

• 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

• Forecasts and plans for contract values to be determined by offers for contracting and network teams.

• Analyze network and/or provider performance along key indicators (e.g. compliance with regulatory audits; financial performance; Benefit Cost Ratio; risk adjustment scores; prevalence rates; Unit Cost Reduction ) in order to determine which programs to implement and/ or modify

• Develops tool kits for contract managers, showing levers for value.

• Authorizes deviations from standards.

• Review work performed by others and provide recommendations for improvement.

• May lead functional or segment teams or projects.

• Pharmacy network contract template support and development

• Provides explanations and information to others on the most complex issues.

• Motivates and inspires other team members.

You will 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 providing development for other roles you may be interested in.

Required Qualifications:

• Undergraduate degree or experience may be substituted for one another on a year for year basis

• 5+ years of experience working across a matrix environment to deliver financial goals

• 5+ years of work experience in strategic and business development roles, ideally in related industry (Pharmacy Benefit Management, Pharmaceuticals, Life Sciences, etc.)

• 5+ years of experience developing product pricing & utilizing financial modeling in making rate decisions

• 5+ years of experience interacting with executive leadership

• 5+ years of experience leading a team of direct reports

Preferred Qualifications:

• Advanced degree – Finance or Accountancy

• RPh or legal degree

• Experience with large scale negotiations (min 2B/contract or greater)

• Experience with client presentations (verbal and PowerPoint creation)

• Sales Experience

Soft Skills:

• Strong communication and influencing skills with internal and external stakeholders

Please note you must currently be eligible to work and remain indefinitely without any restrictions in the country to which you are making an application. Proof will be required to support your application.

*All telecommuters will be required to adhere to the UnitedHealth Group’s Telecommuter Policy.

Telecommuting Requirements:

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.

• Ability to keep all company sensitive documents secure (if applicable)

• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington, or Washington D.C Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington, or Washington D.C residents is $66.25 to $91.10 per hour. 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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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: Optum is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to gender, civil status, family status, sexual orientation, disability, religion, age, race, and membership of the Traveler community, or any other characteristic protected by law.

Optum is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.