Associate Director, Payer Relationships – Remote

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

 

The Associate Director of Payer Relationships is responsible for managing the Optum Integrated Pharmacy (Specialty, Home Delivery, Infusion, Frontier and Genoa Healthcare) business relationships with OptumRx clients. This role provides account management and strategic oversight of driving forward important initiatives, including but not limited to pharmacy increase of prescription capture rates and contractual negotiations.

 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

 

Primary Responsibilities:

• Serves as designated client-facing resource for client and internal contacts for pharmacy services/benefits/capabilities matters
• Uses cross-functional coordination to implement client requirements, complete projects, and address ongoing service needs
• Responsible for strategic account planning including establishing plans for growth and partnering with OptumRx account leaders to drive value for Optum Pharmacies
• Serves as client-facing specialty consultant for monthly, quarterly, annual, and ad hoc meetings
• Facilitates meetings between internal partners to ensure alignment and progress of NPS initiatives
• Facilitates and participates in presentation of overall pharmacy performance and member experience
• Assists with complex and escalated issue resolution
• Tracks plan performance through reporting (e.g. utilization, trend)
• Manages Client Service Remediation Plans, ensuring that actions are developed and completed, and provides reporting to client and internal teams
• Provides ad-hoc reporting upon request from SAE
• Prepares and presents overview of current specialty program and future enhancements
• Assists with member communications pertaining to program changes
• Works with product development on new initiatives
• Presents opportunities to internal teams and clients/consultants 

 

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 working in the health care industry
• 5+ years of experience in a client management role
• Demonstrated experience in preparing and delivering senior-level presentations and reports for clinical, case management, and operational audiences
• Online reporting database experience and analytical skills to review data and develop programs, including the ability to evaluate an opportunity and develop solutions that maximize value for the enterprise and client
• Solid product and project management skills, including risk and contingency management, as well as the ability to manage competing demands and set priorities to achieve deliverables
• Proven ability to build relationships across functions and lead toward common goals
• Working knowledge of OptumRx PBM and/or Optum Pharmacies
• Highly effective communicator, both written and verbal
• Ability to lead opportunities past engagement/sales to completion and implementation
• Proficient in Microsoft PowerPoint, Word and Excel
• Solid organizational skills with attention to detail
• Ability to work well independently
• Ability to travel up to 25% based on business need 

 

Preferred Qualifications:

• Pharmacy experience, especially working with pharmacy benefits
• Experience working in and leading teams/initiatives in a matrixed organization
• Deep understanding of the healthcare ecosystem including clinical care, pharmacy services, payers, providers, and regulatory agencies
• Solid analytical skills with hands-on experience; ability to quickly aggregate and analyze information and draw conclusions
• Ability to identify the tasks needed to move the business forward
• Ability to problem solve and formulate solutions from experience or research
• Extensive leadership, management, communication, and negotiation skills
• Public speaking and presentation skills

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

 

The salary range for this role is $106,800 to $194,200 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 al 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