Healthcare Provider Network Contract Manager - Specialty Pharmacy - Remote
Company: UnitedHealth Group
Location: Richmond
Posted on: March 16, 2023
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Job Description:
At UnitedHealthcare, we're simplifying the health care
experience, creating healthier communities and removing barriers to
quality care. The work you do here impacts the lives of millions of
people for the better. Come build the health care system of
tomorrow, making it more responsive, affordable and equitable.
Ready to make a difference? Join us and start doing your life's
best work.(sm)You'll enjoy the flexibility to work remotely * from
anywhere within the U.S. as you take on some tough
challenges.Primary Responsibilities:Evaluate, manage, and negotiate
large national home infusion & specialty pharmacy contracts,
reimbursement structure standards and other key process
controlsForecast contract impacts to UHC lines of business,
departments, health plans and Optum affiliate companiesIn
coordination with UHC healthcare economics and national ancillary
colleagues, manage departmental unit cost budgets, target setting,
score carding, performance reporting and associated financial
modelsDevelop and manage competitive network programs that achieve
objectives for performance and adheres to regulatory requirements,
trend management and appropriate distribution of providers while
managing UHC lines of business, enterprise and health plan
expectationsDevelop, maintain and nurture business relationships
with nationally contracted providers and identify other target
cost-effective, high-quality providers who help UHC achieve
MBOsUnderstand and recommend deviations from standard contract
language and ratesCoordinate JOCs, communicate enterprise policy,
oversee large scale operations projects with Provider Advocate
team, and contribute to superior Net Promoter ScoresIn this role,
you will need to be able to thrive in a demanding, intense,
fast-paced environment. In addition, you'll be driving some complex
negotiations while striving to ensure accuracy and
affordability.You'll be rewarded and recognized for your
performance in an environment that will challenge you and give you
clear direction on what it takes to succeed in your role as well as
provide development for other roles you may be interested
in.Required Qualifications:Undergraduate degree or equivalent work
experience5+ years of experience in a network management-related
role handling complex network providers with accountability for
business results5+ years of experience in the health care
industry5+ years of experience with provider contracting including
development of product pricing and utilizing financial modeling in
making rate decisionsFull COVID-19 vaccination is an essential job
function of this role. Candidates located in states that mandate
COVID-19 booster doses must also comply with those state
requirements. UnitedHealth Group will adhere to all federal, state
and local regulations as well as all client requirements and will
obtain necessary proof of vaccination, and boosters when
applicable, prior to employment to ensure compliance. Candidates
must be able to perform all essential job functions with or without
reasonable accommodationPreferred Qualifications:Infusion
contracting or specialty pharmacy experiencePBM or Pharmacy
experienceTo protect the health and safety of our workforce,
patients and communities we serve, UnitedHealth Group and its
affiliate companies require all employees to disclose COVID-19
vaccination status prior to beginning employment. In addition, some
roles and locations require full COVID-19 vaccination, including
boosters, as an essential job function. UnitedHealth Group adheres
to all federal, state and local COVID-19 vaccination regulations as
well as all client COVID-19 vaccination requirements and will
obtain the necessary information from candidates prior to
employment to ensure compliance. Candidates must be able to perform
all essential job functions with or without reasonable
accommodation. Failure to meet the vaccination requirement may
result in rescission of an employment offer or termination of
employmentCareers with UnitedHealthcare. Work with a Fortune 5
organization that's serving millions of people as we transform
health care with bold ideas. Bring your energy for driving change
for the better. Help us improve health access and outcomes for
everyone, as we work to advance health equity, connecting people
with the care they need to feel their best. As an industry leader,
our commitment to improving lives is second to none.California,
Colorado, Connecticut, Nevada, New York City, or Washington
Residents Only: The salary range for California, Colorado,
Connecticut, Nevada, New York City, or Washington residents is
$67,800 to $133,100. Pay is based on several factors including but
not limited to education, work experience, certifications, etc. In
addition to your salary, UnitedHealth Group offers benefits such
as, a comprehensive benefits package, incentive and recognition
programs, equity stock purchase and 401k contribution (all benefits
are subject to eligibility requirements). No matter where or when
you begin a career with UnitedHealth Group, you'll find a
far-reaching choice of benefits and incentives.*All employees
working remotely will be required to adhere to UnitedHealth Group's
Telecommuter PolicyAt UnitedHealth Group, our mission is to help
people live healthier lives and make the health system work better
for everyone. We believe everyone-of every race, gender, sexuality,
age, location and income-deserves the opportunity to live their
healthiest life. Today, however, there are still far too many
barriers to good health which are disproportionately experienced by
people of color, historically marginalized groups and those with
lower incomes. We are committed to mitigating our impact on the
environment and enabling and delivering equitable care that
addresses health disparities and improves health outcomes - an
enterprise priority reflected in our mission. 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, Richmond , Healthcare Provider Network Contract Manager - Specialty Pharmacy - Remote, Healthcare , Richmond, California
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