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UnitedHealth Group

UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of

Director Network Contracting

Location

United States

Posted

6 days ago

Salary

$134.6K - $230.8K / year

Seniority

Lead

No structured requirement data.

Job Description

Director Network Contracting

UnitedHealth Group

Role Description 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. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. - 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. Qualifications - 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. Requirements - 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. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). - The salary for this role will range from $134,600 - $230,800 annually based on full-time employment.

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