UnitedHealth Group Senior Manager, Medical Network Drug Pricing (Pharmacy) - Multiple Locations in Chicago, Illinois

You've been working your way to this opportunity for some time now. You've learned to lead. You've build a deep expertise in health care network operations. You've set your sights on having more impact in more ways. It's time to join our leadership team and help UnitedHealth Group meet the challenge of shaping where health care will go. We're driving ever higher levels of sophistication in how provider networks are composed and compensated. Your expertise in provider networks can help us build in the next phase of evolution. In this Director level role, you'll use your knowledge and analytical skills to help determine how clinical providers group up by specialty and service line. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 6 leader.

This position will be accountable for developing and implementing network contracting strategies related to pharmaceutical products. This individual will work with negotiation teams to understand current contract structure and with analytic teams to conduct unit cost and contract valuation analysis. Position will work with industry experts and negotiation leads to determine future contracting strategy that will best position UHC for long-term sustainability related to medical drug spend. Individual will work with regional network contracting leads to prioritize high opportunity contracts, implement new contracting strategy and monitor performance.

Additionally, this position will work with pharmacy management and network contracting staff to evaluate and prioritize medical drug management programs, including product preferencing and alternative drug sourcing models.

If you are located in Minnetonka, MN; Chicago, IL; St. Louis, MO; or Irvine, CA; you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities

  • Review and evaluate current contracts for unit cost and overall value

  • Develop future national contracting strategy (rates and methodology) to best position UHC for long term medical drug spend management and to meet BIC and affordability goals

  • Prioritize contracts for greatest value potential

  • Work with network leadership to develop plan to roll-out medical pharmacy recontracting initiative within confines of overall network recontracting

  • Monitor and report on recontracting, working with network partners – including total savings – remediate as necessary

  • Work with corporate partners to identify and drive site of service opportunities

  • Develop alternative drug sourcing models, and work with corporate and external partners to execute on initiatives

  • Improve governance and monitoring of drugs on the medical benefit

Required Qualifications

  • Bachelor’s degree

  • 6+ years of experience in managed care

  • 3+ years of network contracting and/or pricing experience

  • Basic analytic software (Excel) knowledg

  • Experience developing and driving large, complex, cross-functional initiatives

Preferred Qualifications

  • Knowledge of medical drug reimbursement

  • Ability to influence regional network leadership as well as other corporate partner leadership (ORx and Optum)

  • Ability to take complex and disparate information and synthesize and analyze to develop actionable strategies

  • Financial / analytic acumen; able to direct analytic staff to produce analysis for decision support and ongoing reports for monitoring

Building diverse, high quality provider networks is creating greater access to health care and improving the lives of millions. Join us. Learn more about how you can start doing your life's best work.(sm)

Careers with UnitedHealthcare . Let's talk about opportunity. Start with a Fortune 4 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

*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.

Job key words: Healthcare Economics, Network Pricing, Medical Economics, Healthcare Analyst, Financial Analyst, Sales Contracts Analyst, Pricing Consultant, SAS, SQL, Actuarial, PBM, Pharmacy, Minnetonka, MN, Chicago, IL, St. Louis, MO, Irvine, CA, Telecommute