RentonRecruiter Since 2001
the smart solution for Renton jobs

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

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Sr. Manager, Prime Products, Amazon Prime
Description: Amazon Prime serves over 150 million members across 18 countries and is at the heart of Amazon's explosive growth. In 2020, Prime is investing in transformational capabilities to make Prime relevant and (more...)
Company: Amazon Corporate LLC
Location: Seattle
Posted on: 09/29/2020

Director of Product, Analytics
Description: The Director of Product Management for Analytics will lead and scale cross cutting product management initiatives for Analytics at AWS that span some of our most strategic analytics services. The product (more...)
Company: Amazon Corporate LLC
Location: Seattle
Posted on: 09/29/2020

Principal Materials Program Manager
Description: The Team: Amazon Go is a new kind of store with no lines and no checkout. You simply use the Amazon Go app to enter the store, take what you want from our selection of fresh, delicious meals and grocery (more...)
Company: Amazon Corporate LLC
Location: Seattle
Posted on: 09/29/2020


Mid-Level Engineering Manager for Microelectronics R&D Team
Description: At The Boeing Company, we create the future --- of mobility, autonomy, speed, endurance, space access and exploration, undersea vehicles, cybersecurity, communication and much, much more. We connect people, (more...)
Company: BOEING
Location: Bremerton
Posted on: 09/29/2020

Digital Marketing Manager, SEM
Description: Digital Marketing Manager, SEM - Verathon - Verathon is a global medical device company currently experiencing tremendous growth. We are the market leader in two key areas airway management and bladder (more...)
Company: Verathon, Inc.
Location: Bothell
Posted on: 09/29/2020

Product Manager - Technical, Business Delivery Experience
Description: A dreamy business offering has at least four characteristics. Customers love it, it can grow to very large size, it has strong returns on capital, and it's durable in time-with the potential to endure (more...)
Company: Amazon Corporate LLC
Location: Seattle
Posted on: 09/29/2020

Product Design Manager, Messenger - Product Foundations: Privacy
Description: Facebook's mission is to give people the power to build community and bring the world closer together. Through our family of apps and services, we're building a different kind of company that connects (more...)
Company: Facebook
Location: Seattle
Posted on: 09/29/2020

Senior Manager, Data Administration
Description: The Senior Manager, Data Administration is a senior level position within NanoString's Information Technology department. The primary responsibilities of this position will be to develop and execute a (more...)
Company: NanoString Technologies, Inc.
Location: Seattle
Posted on: 09/29/2020

Senior Manager-Testing
Description: Under general direction, lead development of an IT quality management practice. This starts with an overall plan for testing and certification of fare systems equipment, and then expands into all IT software (more...)
Company: Sound Transit
Location: Seattle
Posted on: 09/29/2020

ERC Program Manager for Case Management System
Description: Join Amazon's Employee Resource Center ERC team and help make a difference for all Amazonians The ERC provides HR assistance to Amazon employees, in the form of accurate, consistent, and timely responses (more...)
Company: Amazon Corporate LLC
Location: Seattle
Posted on: 09/29/2020

Log In or Create An Account

Get the latest Washington jobs by following @recnetWA on Twitter!

Renton RSS job feeds