Manager of Network Contracting - 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:
At UnitedHealth Group and Optum, we want to make healthcare work better for everyone. This depends on hiring the best and brightest. With a thriving ecosystem of investment and innovation, our business in Ireland is constantly growing to support the healthcare needs of the future.
Our teams are at the forefront of building and adapting the latest technologies to propel healthcare forward in a way that better serves everyone. With our hands at work across all aspects of health, we use the most advanced development tools, AI, data science and innovative approaches to make the healthcare system work better for everyone.
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. In addition to having impact on a great team, you'll also discover the career opportunities you'd expect from an industry leader.
Primary Responsibilities of the Manager Network Contracting:
• 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, excellent attention to detail, make decisions,
and deliver on commitments
You will be rewarded and recognised 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 providing development for other roles you may be interested in.
Required Qualifications of the Manager Network Contracting:
• Extensive contract management experience
• Strong negotiation experience and relationship management skills
• Experience with pharmacy or healthcare claims
• Experience of financial analysis and/or modeling experience
• Intermediate level of proficiency with MS Word and Excel
Preferred Qualifications of the Manager Network Contracting:
• Extensive knowledge of provider relations and/or network management experience
• Undergraduate degree
• Strategic thinker and/or project management skills
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.
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 Traveller community, or any other characteristic protected by law. Optum is a drug-free workplace. © 2023 Optum Services (Ireland) Limited. All rights reserved.
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