Senior Network Pricing Consultant

3 weeks ago

Letterkenny, Donegal, Ireland UnitedHealth Group Full time

Location field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ). City and state must be separated by a comma followed by a space (e.g., Houston, TX )

Optum is a global organisation that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

About the Role:

As a Fortune 5 business, we're one of the world's leading healthcare companies. There are no limits here on the resources you'll have or the challenges you'll encounter.

We have been supporting global healthcare systems from Ireland and the UK for more than 20 years, building a dynamic and diverse team of more than 2,100 talented individuals. With a continued record of growth and stability, we're on the constant lookout for fresh talent to join our expanding teams.

OptumRx is looking for a curious and self-motivated individual to identify and develop strategies that leverage the full breadth of Optum assets to solve healthcare's biggest challenges in Optum Pharmacies. This role will be responsible for understanding the needs of our partners and developing business solutions using the data and capabilities of Optum. We are looking for an individual that can collaborate with business partners, anticipate future industry needs, and has strong financial acumen.

Careers with Optum offer flexible work arrangements and individuals who live and work in the Republic of Ireland will have the opportunity to split their monthly work hours between our Dublin or Letterkenny and telecommuting from a home-based office in a hybrid work model.

Primary Responsibilities:
  1. Monitor payor financial performance to identify opportunities to improve performance and the client relationship.
  2. Collaborate with internal partners to ensure ongoing execution of processes are in line with contractual obligations.
  3. Assist in data generation and collateral for senior leadership business updates, providing explanations and information to others on the most complex issues.
  4. Utilize exceptional organizational skills in the management of OptumRx Pharmacy contracts including but not limited to ensuring accurate/timely data, generating reports, and tracking monthly performance & adherence metrics.
  5. Actively consult with business stakeholders and subject matter experts to ensure appropriate business content is incorporated into analytic approaches. Anticipate stakeholder needs and proactively develop solutions to meet them.
  6. Demonstrate understanding of complex contract language to assess financial, non-financial impact and legal implications of requested contract changes.
  7. Rapidly develop new insights and iterate upon those insights to drive business decisions.
Required Qualifications:
  1. Proven experience in contract analysis, contract management or review strategy development and contract redlining experience.
  2. Proven previous experience in commercial, procurement or legal teams with focus on contracts.
  3. Strong communication and influencing skills with internal and external stakeholders.
Preferred Qualifications:
  1. Advanced degree (MBA or PharmD).
  2. Experience in managed health care or pharmacy benefit management.
  3. Advanced experience utilizing PowerPoint and Excel.

Please note you must currently be eligible to work and remain indefinitely without any restrictions in the country to which you are making an application. Proof will be required to support your application.

All telecommuters will be required to adhere to the 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 marginalised 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.

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