UnitedHealth Group

Associate Director Network Contracting - Remote

UnitedHealth Group$112K — $193K *
US-AnywhereRemote in Schaumburg, IL
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of experience with network contracting or provider relations
  • 5+ years of experience with PBM or pharmacy contract management
  • Proficient in pharmacy contract pricing and reimbursement modeling
  • Experience managing national pharmacy accounts generating over 5M in revenue
  • Capability to navigate a highly matrixed/cross-functional work environment
  • Familiarity with financial tools and reports for rate development
  • Understanding of key pharmacy reimbursement models

Responsibilities

  • Establish and maintain strong relationships while leading negotiations with pharmacy clients
  • Analyze complex contract language for its financial and operational implications
  • Assess the competitive landscape within the PBM market for strategic insights
  • Present market trends to facilitate the development of market strategies
  • Understand provider termination processes and their implications
  • Gather market intelligence from relevant sources
  • Evaluate and negotiate contracts in compliance with industry standards
  • Monitor provider financial performance to enhance relationships and results
  • Lead and ensure accountability for performance across management levels
  • Negotiate pharmacy network contracts to achieve favorable financial results

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase options
  • 401k contribution matching
Full Job Description
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary 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


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:

  • 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 (move this to the Required Qualifications section above)
  • 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


Preferred Qualifications:

  • 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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

About UnitedHealth Group

UnitedHealth Group is a medical facility. They offer health technology, health finance, and pharmacy services. They are utilizing clinical data and intelligence to assist in the redesign, automation, and deployment of technology to streamline administrative operations and clinical decision-making. Payment systems for both consumers and providers are critical components of a health-care system.

UnitedHealth Group Careers

Joining UnitedHealth Group means becoming part of a diverse team dedicated to making a difference. As a leader in health services and innovation, our company offers a variety of job opportunities that allow professionals to leverage their skills, drive innovation, and improve lives. Work You’ll Do At UnitedHealth Group, you’ll contribute to a mission-focused environment where your expertise will influence the health and well-being of people worldwide. Our employment opportunities span across a wide range of disciplines, from healthcare specialists to data analysts, ensuring that your career journey is both dynamic and rewarding. Transform Healthcare with Your Expertise UnitedHealth Group stands at the forefront of health innovation. Our team collaborates to deliver solutions that lead to better patient outcomes. Working with us, you’ll find yourself at the intersection of technology, healthcare, and leadership, providing key insights that drive industry transformation. Join Our Global Team As part of our team, you’ll engage with over 300,000 professionals globally, dedicated to building a diverse and inclusive workplace. UnitedHealth Group is not just a company; it’s a community where you can grow your career through continuous learning and leadership opportunities. Our commitment to diversity training ensures that every team member can thrive. UnitedHealth Group Career Development We are committed to your professional growth. Explore career paths filled with promising job opportunities and internships that will harness your potential and expand your capabilities. Whether you’re a seasoned professional or a recent graduate, you’ll find that our career development programs support your ambition at every level. Innovative Work Environment At UnitedHealth Group, innovation is at the core of our operations. We encourage our team to bring forward-thinking ideas that challenge the status quo and lead to breakthrough improvements in patient care. Be Part of a Great Team Our culture fosters a collaborative and supportive environment where every member’s contribution is valued. Enjoy the benefits of being part of a global team that’s committed to making a difference in people’s lives. Future-Proof Your Career With UnitedHealth Group, your career is future-proof. Dive into a range of positions that offer both challenges and rewards. Our robust support system includes unmatched training, development programs, and certification support to propel your career forward. Stay Connected Join Our Team Discover the right position that matches your skills and interests. We are always hiring and look for passionate, curious, and solution-driven team players. Search UnitedHealth Group jobs today and take the first step towards a fulfilling career. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can use today—all from the people who work here. Read Careers Blog Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UnitedHealth Group.
Learn more about UnitedHealth Group
Size
350,000 employees
Market Cap
$493.1 billion
Industry
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ

Similar Jobs

More Jobs at UnitedHealth Group

More Healthcare Jobs

Find similar Associate Director Network Contracting - Remote jobs: