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Manager Network Pharmacy Contracting - Telecommute

Company: UnitedHealth Group
Location: San Diego
Posted on: November 26, 2022

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

The Manager of Network Contracting is responsible for contracting and provider relationship management activities within OptumRx in support of an assigned group of pharmacy providers. -This role will work to develop and maintain positive relationships with pharmacy partners that yield results and drive client satisfaction and will play an active role by managing contractual obligations and compliance, contract negotiations, operational needs and relationship needs. -

You'll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges.

Primary Responsibilities:


  • Lead and assist with contractual negotiations
  • Develop and execute on provider strategy development
  • Maintain an ongoing knowledge of provider's business as well as their contract with OptumRx
  • Provide positive alternatives to complex situations encountered by providers and manage expectations
  • Escalate provider concerns internally and to help solve complex issues
  • Communicate effectively with providers via face-to-face meetings, conference calls and written correspondence
  • Manage contractual obligations including but not limited to contract compliance
  • Be a self-starter, produce quality work, make decisions, and deliver on commitments



    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:


    • 4+ years of contract management experience
    • 2+ years of experience with pharmacy or healthcare claims -
    • 2+ years of financial analysis and/or modeling experience -
    • Negotiation experience
    • Intermediate level of proficiency with MS Word and Excel
    • 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:


      • Undergraduate degree
      • Provider relations and/or network management experience
      • PBM/pharmacy experience -
      • Experience managing multiple priorities & projects



        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 OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)

        Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $82,100 to $146,900. The salary range for Connecticut / Nevada residents is $90,500 to $161,600. 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 Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.


        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, San Diego , Manager Network Pharmacy Contracting - Telecommute, Executive , San Diego, California

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