Associate Director of Network Contracting
3 days ago
Associate Director of Network Contracting – Dublin or Letterkenny / Hybrid
Optum is a global organization 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 pharmacy services. This role will be responsible for understanding the needs of industry partners and developing business solutions using the data and capabilities of Optum. We are looking for people that can collaborate with business partners, anticipate future industry needs, and have 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 offices and telecommuting from a home-based office in a hybrid work mode.
Primary Responsibilities:
1. Apply experience to lead negotiations with pharmacies in the US.
2. Assure optimal value and mitigation of risk to drive goals and achieve metrics on behalf of OptumRX and its clients.
3. Facilitate contract strategy for value-based agreements, and innovative partnership strategies.
4. Evaluate and negotiate contracts in compliance with client contracts, reimbursement structures, and other key process controls.
5. Demonstrate understanding of complex contract language to assess financial, non-financial and operational impact and legal implications of requested contract changes.
6. Analyze network and provider performance with respect to key indicators (e.g. compliance with regulatory audits; financial performance) to determine which programs to implement or modify.
7. Monitor provider financial performance to identify opportunities to improve performance and the provider relationship.
8. Collaborate with internal partners to ensure ongoing execution of processes are in line with contractual obligations.
9. Assist in data generation and collateral for senior leadership business updates, providing explanations and information to others on the most complex issues.
10. Utilize exceptional organizational skills in the management of OptumRx contracts including but not limited to ensuring accurate/timely data, generating reports, and tracking monthly performance & adherence metrics.
11. Be on point as the SME for Provider contracting related queries for our provider relations help desk.
Required Qualifications:
1. Undergraduate degree or equivalent (finance / legal preferred).
2. Value Based Contract Experience, with a focus on negotiation.
3. Strong communication and influencing skills with internal and external stakeholders.
4. Proven experience in financial modeling & development of product pricing.
5. Experience in strategic and business development roles, ideally in related industry (Pharmacy Benefit Management, Pharmaceuticals, Life Sciences, etc.).
6. Proven ability to work collaboratively and influence across a matrix environment to deliver financial goals.
7. Experience interacting with executive leadership.
Preferred Qualifications:
1. Pharmaceutical and drug industry experience / background.
2. 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 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: Optum is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to gender, civil status, family status, sexual orientation, disability, religion, age, race, and membership of the Traveler community, or any other characteristic protected by law. Optum is a drug-free workplace. 2024 Optum Services (Ireland) Limited. All rights reserved.
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