Improve the lives of others while doing your life's best work.
SM A career with Genoa Healthcare means you are part of a
collaborative effort to serve behavioral health and addiction
treatment communities. We do more than just provide medicine: we
change lives for the better. People with serious mental or chronic
illness – and those who care for them – have moving stories, and at
Genoa, we become their voice, their partner. Working as part of a
coordinated care team, we partner with community-based providers
and others to ensure that people with complex health conditions get
the right medications and are able to follow their treatment plans.
Our personalized services – in-clinic pharmacies, telepsychiatry
and medication management – are leading the way to a new level of
We recently joined OptumRx, a pharmacy care services company
that is part of Optum and UnitedHealth Group’s family of
businesses. We are part of a leading information and
technology-enabled health services business dedicated to making the
health system work better for everyone. Take a closer look to learn
why a career with Genoa Healthcare might be the path to discovering
your life's best work . SM
Reporting to the Senior Vice President, Procurement & Network
Management, this position provides oversight and management for
pharmacy and medical claims contracting, network management and
performance measurement, pharmacy licensing and payer audit
activities for all lines of business nationally at Genoa. Reporting
to this role will be the contracting and network management
functions for both pharmacy and medical claims, pharmacy licensing
and audit personnel and supporting data analysts. In addition, this
person will assist in building out the organizational design to
support the rapid growth of our business.
Key responsibilities of this position include:
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 Genoa pharmacies.
Support and contribute to the overall payer contracting strategy
and execution including negotiations, contract management, and
Monitor and analyze performance of third party payer agreements
including profitability, volume, strategic initiatives and contract
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
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
Highly developed relationship-building skills to foster
effective working relationships across Genoa.
Education: Undergraduate degree is required.
Advanced degree or MBA is highly desirable.
Requisition Number 879824
Job Family Network Contracting and Pricing
UnitedHealth Group is committed to working with and providing
reasonable accommodations to individuals with physical and mental
disabilities. If you need special assistance or accommodation for
any part of the application process, please call 1-800-561-0861 and
press or say 1 for Applicant to be connected to Recruitment
Services. Recruitment Services hours of operation are 7 a.m. to 7
p.m. CT, Monday through Friday.
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Group, Inc. The UnitedHealth Group name with the dimensional logo,
as well as the dimensional logo alone, are both service marks for
the UnitedHealth Group, Inc.
Diversity creates a healthier atmosphere: UnitedHealth Group is
an Equal Employment Opportunity/Affirmative Action employer and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation,
gender identity or expression, marital status, genetic information,
or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are
required to pass a drug test before beginning employment.