Director, Health Plans Client Management PBM – Remote
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Clinical
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Customer Service
Our customer service & claims teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you’ll discover a wealth of pathways for professional growth within Customer Service and across our global economy. Join us and find out why this the place to do your life’s best work.SM
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.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Partners with Client Executives and key business stakeholders to develop and execute strategic client plan that addresses client’s business needs (current and emerging), supports growth, provides measurable value, and increases client engagement / loyalty via NPS oversight and action plans
- Establishes, cultivates, and manages the customer relationship at multiple levels, (executive suite to solution owners) serving as a trusted business advisor / partner to the client
- Refines client strategy through continual discussions with client stakeholders, detailed understanding of client context, anticipation of client needs, and holds design sessions with relevant Optum leaders to define solutions and execution plans
- Acts as “ambassador” for Optum with the client, advancing Optum’s interests with client stakeholders. Represents and articulates value of Optum solutions to various levels within the client, including executives, decision makers and key influencers
- Drives and/or oversees regular and ad hoc meetings with client stakeholders on operational, network, and clinical performance. Coordinates creation and dissemination of discussion materials
- Maintains integrated list of client challenges across all functional domains (operations, pricing, network, clinical, product, growth) and proactively keeps Optum leadership abreast of issues
- Supports client growth by participating in key client meetings, sales and strategy presentations
- Ensures contract compliance, including negotiation and reporting of performance guarantees
- Negotiates contractual agreements, statements of work, serving as liaison with contracting / legal / finance and has overall responsibility and oversight for execution of contract service delivery (e.g., market check, audits, SLAs, and contract amendments)
- Constantly assesses the value Optum solutions are delivering and leads team members to develop approaches that increase the value we provide and/or increases the impact Optum has on the client’s business
- Engages cross functional client teams on the delivery of services, escalating issues where necessary and driving resolution
- Holds functional teams accountable to deliver against client requirements and expectations
- Owns successful client renewal process, identifying expansion / enhancement opportunities, gauging client receptivity, facilitating contracting processes
- Key liaison between client and Optum business leaders (shared responsibility with Health Plan COE GM)
- Maintains accurate and current client plan in CRM System (SalesForce.com), including client planning, opportunity management, contact management, current solution footprint, upsells etc.
- Ensures Client Satisfaction and client willingness to serve as a reference
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:
- 5+ years of experience in strategic client relationship management within a PBM, working with senior level c – suite executives and demonstrating progressively increasing responsibility
- 3+ years of account management experience supporting PBM healthplan clients
- 2+ years of experience leading a team to deliver results
- Experience messaging, positioning, and presenting information for maximum customer impact and influence (e.g. leading and coordinating Executive Review Committees, bi-annual summits, executive dashboards, Large Case Reviews, etc.)
- Experience initiating project plans and successfully manage projects to full execution
- Experience leading the RFP (Request for Proposals) process, finalist presentations and negotiating client contracts (specifically, Renewals and Market Checks)
- P&L contract management experience
- Experience working with complex health care solutions (e.g., outsourced health care solutions)
- Employee Engagement Experience, specifically, building high-performing teams, team engagement, and employee retention as documented by improved employee satisfaction scores
- Proven team development/training/mentor experience including operationalizing development plans and ongoing training to support the team, client, market, and business needs
- Ability to travel up to 50%
Preferred Qualifications:
- Experience with Medicare Part D PBM
- Experience with RXClaim
- Experience with PBM client contracting
- Experience with PBM rebates and values
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
The salary range for this role is $124,500 to $239,400 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.
Additional Job Detail Information
Requisition Number 2284575
Business Segment OptumRx
Employee Status Regular
Job Level Director
Travel Yes, 10 % of the Time
Is_Internal:
External
Overtime Status Exempt
Schedule Full-time
Shift Day Job
Telecommuter Position Yes
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