Healthcare Provider Network Contract Manager - Specialty Pharmacy - Remote
Company: UnitedHealth Group
Location: Avondale
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 controls
Forecast contract impacts to UHC lines of business, departments,
health plans and Optum affiliate companies In coordination with UHC
healthcare economics and national ancillary colleagues, manage
departmental unit cost budgets, target setting, score carding,
performance reporting and associated financial models Develop 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 expectations
Develop, maintain and nurture business relationships with
nationally contracted providers and identify other target
cost-effective, high-quality providers who help UHC achieve MBOs
Understand and recommend deviations from standard contract language
and rates Coordinate JOCs, communicate enterprise policy, oversee
large scale operations projects with Provider Advocate team, and
contribute to superior Net Promoter Scores In 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 experience
5 years of experience in a network management-related role handling
complex network providers with accountability for business results
5 years of experience in the health care industry 5 years of
experience with provider contracting including development of
product pricing and utilizing financial modeling in making rate
decisions Full 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
accommodation Preferred Qualifications: Infusion contracting or
specialty pharmacy experience PBM or Pharmacy experience To 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 employment Careers 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 Policy At
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, Avondale , Healthcare Provider Network Contract Manager - Specialty Pharmacy - Remote, Executive , Avondale, Arizona
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