RentonRecruiter Since 2001
the smart solution for Renton jobs

Sr Director Network Contracting- Genoa Healtcare- Renton, WA

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

Job Description:

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 care.

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 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 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.

UnitedHealth Group is a registered service mark of UnitedHealth 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.

Keywords: UnitedHealth Group, Renton , Sr Director Network Contracting- Genoa Healtcare- Renton, WA, Other , Renton, Washington

Click here to apply!

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

I'm looking for
in category

Other Other Jobs

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

Lead Maintenance Technician
Description: Job Type: Non Exempt State: :WA City: Redmond Brand: eaves Overview Creating a better way to liveis the purpose that binds AvalonBay associates.With over 280 communities and nearly 84,000 (more...)
Company: Avalonbay Communities
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

Certified Medical Assistant or LPN, Redmond Primary Care, $3,000 Sign-on Bonus
Description: Certified Medical Assistant or LPN- Full-time Redmond Primary Care Clinic Occasional floating to Kirkland Primary Care as needed ICARE Integrity Compassion Agility Respect Engagement (more...)
Company: Overlake Medical Center
Location: Redmond
Posted on: 09/27/2020

Speaker- Spanish Accent
Description: Requirement 1 6 Speakers Start Date ASAP Duration 1-3 months 11 Male Female Part-Time 6 hours
Location: Redmond
Posted on: 09/27/2020

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

Delivery Driver - Earn $17.00 to $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

Amazon Online Order Shopper (Part-Time)
Description: Warehouse and Shopper Team Members br br Shifts: br Overnight, Early Morning, Day, Evening, Weekend br br Location: Kirkland, Bellevue, Redmond br Job opportunities vary by location. We update (more...)
Company: Amazon
Location: Redmond
Posted on: 09/27/2020

Delivery Driver - Earn $18.00 to $19.25++/hr
Description: Job DescriptionLocation : DWA9 3711 142nd Avenue East Sumner,WA 98390-9605 17.00- 18.25/hr 1/hr until 10/17 Amazon Delivery Service Partners are seeking bright, motivated, hardworking individuals (more...)
Company: Amazon Contracted Delivery Partners
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

Log In or Create An Account

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

Renton RSS job feeds