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, Other , Renton, Washington

Click here to apply!

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

I'm looking for
in category
within


Other Other Jobs


Customer Support
Description: Work-From-Home English/Mandarin This is a bi-lingual position that requires fluency in English and Mandarin, both written and verbal. Applicants will be tested on their level of proficiency. This is a (more...)
Company: Comtek-group
Location: Sammamish
Posted on: 09/27/2020

Hiring Caregiver - Great Pay, Any Shift
Description: We are seeking reliable, compassionate, and upbeat Caregivers who can provide In Home care, personal care, and companionship. Many of our clients are looking for friendly Caregivers
Company: CareInHomes
Location: Redmond
Posted on: 09/27/2020

Delivery Driver - DSE7 - Sumner, WA $17 - $18.25 /hr++ (Additional $1/hr increase up to 10/17*)
Description: Job DescriptionLocation : DSE7 2201 140th Ave. E. Sumner WA 98390 17.00 - 18.25/hr 1/hr until 10/17 Amazon Delivery Service Partners are seeking bright, motivated, hardworking individuals to (more...)
Company: Amazon Contracted Delivery Partners
Location: Redmond
Posted on: 09/27/2020


Delivery Driver - DSE4 - Everett, WA $17.00-$18.25/hr++
Description: Job DescriptionLocation : DSE4 6611 Associated Blvd. Everett WA 98203 17.00- 18.25/hr Amazon Delivery Service Partners are seeking bright, motivated, hardworking individuals to fill Contracted Delivery (more...)
Company: Amazon Contracted Delivery Partners
Location: Redmond
Posted on: 09/27/2020

General Dentist
Description: JOB TITLE: General Dentist REPORTS TO: Lead Dentist/Regional Dental Director FLSA: Exempt Welcome to Preventistry-- We are revolutionizing oral health for everyone by redefining prevention and care. A (more...)
Company: Advantage Dental
Location: Redmond
Posted on: 09/27/2020

Get New Siding Work Today - Preview Leads In Your Area
Description: Over 25 million homeowners have trusted HomeAdvisor 1800Contractor to help them find quality professionals with the expertise to turn their home improvement
Company: HomeAdvisor
Location: Redmond
Posted on: 09/27/2020

Hair Stylist - Experienced Designer (Redmond)
Description: Gene Juarez Salons Spas is seeking Experienced Hair Designers to join our dynamic, creative, and energetic team. Join one of our ten award-winning locations to receive free, continued education, endless (more...)
Company: Gene Juarez Salon & Spa
Location: Redmond
Posted on: 09/27/2020

Massage Therapist PT and FT positions Signing Bonus Available
Description: Come join a team of passionate professionals and work in a quality family owned Massage and Facial spa work environment. Hand amp Stone Massage and Facial Spa Kirkland Juanita Village / Redmond (more...)
Company: Hand and Stone Spa
Location: Redmond
Posted on: 09/27/2020

Customer Service Representative - Work from Home - USA
Description: Join our TTEC work from home customerservice representative team if you reside 45 out of 50 states. We cannotaccept applications for residents of CA, CO, HI, IL or NY or outside of the UnitedStates. (more...)
Company: TTEC
Location: Sammamish
Posted on: 09/27/2020

OMC Medical Assistant, OB/GYN (Redmond & Newcastle) and Newcastle PC, Full-time, $3,000 Sign On Bonu
Description: OB/GYN Redmond amp Newcastle and Newcastle PC, Full-time 10 Hour Shifts ICARE Integrity Compassion Agility Respect Engagement This will be a full-time position, Monday-Friday (more...)
Company: Overlake Medical Center
Location: Redmond
Posted on: 09/27/2020

Log In or Create An Account

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

Renton RSS job feeds