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Sr Director Network Contracting

Company: UnitedHealth Group
Location: Renton
Posted on: September 12, 2020

Job Description:

We're looking for a candidate to fill this position in an exciting company.

  • Manage relationships with PBMs and payers to ensure pharmacy and medical contracts and networks are effective and up to date to support the national network of company pharmacies.
  • Support and contribute to the overall payer contracting strategy and execution including negotiations, contract management, and profitability targets.
  • Monitor and analyze performance of third party payer agreements including profitability, volume, strategic initiatives and contract compliance.
  • Lead contract review projects, complete thorough reviews of existing contracts and provide executive summary reports outlining opportunities for improvement.
  • Educate payers and develop the company's brand and identity to support the mission of a growing, customer-focused company.
  • Keep abreast of state and federal government legislation as well as market dynamics to anticipate industry and payer trends.
  • Provide leadership and develop strategy for the pharmacy licensing and contracting department. This team is responsible for management of all pharmacy license applications, including state Board of Pharmacy, Drug Enforcement Agency, business licensing, network contracting, and other regulatory stakeholders.
  • Oversee the payer audits team, establish best in class performance standards and implement processes to achieve targets.
  • Enhance and broaden the company's medical contracting capabilities to generate additional business opportunities.
  • Collaborate with operations leadership to establish and execute contracting initiatives and objectives, identifying and prioritizing areas of focus.
  • 5 years in pharmacy benefit management or pharmacy experience in a health plan, with a strong understanding of the PBM contracting process and prior negotiation of PBM contracts.
  • Experience in pharmacy licensing and familiarity with payer audits process preferred
  • 3-5 years managerial experience building and leading teams
  • Strong verbal and written communication skills including presentation skills and payer/PBM relationship management experience at an executive level
  • Strong financial analysis, problem-solving, organization, critical thinking, and time management skills
  • Proficiency with Microsoft Excel, Word, Outlook, and PowerPoint
  • Highly developed relationship-building skills to foster effective working relationships across company.
  • Undergraduate degree is required.
  • Advanced degree or MBA is highly desirable.
  • Requisition Number 879824
  • Job Family Network Contracting and Pricing

Keywords: UnitedHealth Group, Renton , Sr Director Network Contracting, Executive , Renton, Washington

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