Associate Director, Medical and Innovative Contracting
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. Come make an impact on the communities we serve as you help us advance health equity on a global scale.
Primary Responsibilities
Develop and support contracting strategies with pharmaceutical manufacturers for medical benefit drugs
Design and execute innovative reimbursement models that align with the Triple Aim: improving clinical outcomes, lowering total cost of care, and enhancing member experience
Ideate and implement medical benefit drug management strategies across multiple therapeutic areas
Support annual and ad hoc RFP initiatives to expand the portfolio of drugs managed via the medical benefit
Manage Emisar contracts with precision, including tracking contract status, ensuring timely data and invoice delivery, and generating reports
Monitor internal and external resources for commercially relevant insights aligned with business priorities
Present contracting strategies to internal stakeholders and members, incorporating feedback into negotiations and execution
Support modeling and analytics to optimize contract performance and outcomes
Required Qualifications
Bachelor's degree (or higher) OR equivalent experience
Clinical experience (e.g., pharmacy, nursing, or other relevant healthcare background)
Intermediate level of proficiency in Power Point and Excel
Understanding of the pharmaceutical and healthcare landscape
Preferred Qualifications
Pharm D, Qualified Pharmacist or equivalent
Experience in a PBM or managed care environment
Certified project management experience
Experience in value-based contracting
Background in the pharmaceutical industry or healthcare sector
Demonstrated expertise in medical benefit dynamics, including billing, reimbursement, supply chain, provider challenges, and clinical policy development
Soft Skills
Proven ability to manage multiple concurrent projects and prioritize effectively
Excellent verbal and written communication skills, with the ability to convey complex information clearly
Exceptional organizational skills
All telecommuters will be required to adhere to the United Health Group's Telecommuter Policy.
At United Health Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are 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.
