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Associate Director of Network Contracting

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Optum

Sep 20

Applications are closed

  • Job
    Full-time
    Senior & Expert Level
  • Healthcare
    Business, Operations & Strategy
  • Dublin

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Requirements

  • Undergraduate degree or equivalent (finance / legal preferred)
  • Value Based Contract Experience, with a focus on negotiation
  • Strong communication and influencing skills with internal and external stakeholders
  • Proven experience in financial modeling & development of product pricing
  • Experience in strategic and business development roles, ideally in related industry (Pharmacy Benefit Management, Pharmaceuticals, Life Sciences, etc.)
  • Proven ability to work collaboratively and influence across a matrix environment to deliver financial goals
  • Experience interacting with executive leadership

Responsibilities

  • Apply experience to lead negotiations with partnering large/ medium Chain & Grocer pharmacies in the US
  • Assure optimal value and mitigation of risk to drive goals and achieve metrics on behalf of OptumRX and its clients.
  • Facilitate contract strategy for value-based agreements, and innovative partnership strategies.
  • Evaluates and negotiates contracts in compliance with client contracts, reimbursement structures, and other key process controls
  • Demonstrate understanding of complex contract language to assess financial, non-financial and operational impact and legal implications of requested contract changes
  • Analyze network and provider performance with respect to key indicators (e.g. compliance with regulatory audits; financial performance) to determine which programs to implement or modify
  • Monitor provider financial performance to identify opportunities to improve performance and the provider relationship
  • Collaborate with internal partners to ensure ongoing execution of processes are in line with contractual obligations.
  • Assist in data generation and collateral for senior leadership business updates, Providing explanations and information to others on the most complex issues.
  • Utilize exceptional organizational skills in the management of OptumRx contracts including but not limited to ensuring accurate/timely data, generating reports, and tracking monthly performance & adherence metrics.
  • Be on point as the SME for Provider contracting related queries for our provider relations help desk.

FAQs

What is the location of the Associate Director of Network Contracting position?

The position can be based in either Dublin or Letterkenny, with hybrid work arrangements available.

What type of company is Optum?

Optum is a global healthcare organization that delivers care supported by technology, focusing on improving health outcomes for millions of people.

What are the primary responsibilities of this role?

The primary responsibilities include leading negotiations with pharmacies, developing value-based agreement strategies, analyzing network performance, and managing contracts while ensuring compliance with obligations.

What qualifications are required for this position?

Required qualifications include an undergraduate degree or equivalent (preferably in finance or legal), value-based contract experience, strong communication skills, proven experience in financial modeling, and strategic business development roles.

Is pharmaceutical experience preferred for this role?

Yes, experience or a background in the pharmaceutical and drug industry is preferred.

Are there flexible work arrangements available for this role?

Yes, the role offers flexible work arrangements, allowing for a hybrid work mode, where employees can split time between the office and home.

Do I need to be eligible to work in the country where I am applying?

Yes, applicants must be eligible to work and remain indefinitely in the country where they are applying, and proof of eligibility will be required.

What company values are emphasized in the job description?

The company emphasizes diversity and inclusion, health equity, and a commitment to mitigating health disparities.

What kind of reporting and data management is required in this role?

The role involves managing OptumRx contracts, ensuring accurate and timely data, generating reports, and tracking monthly performance and adherence metrics.

Is this position focused on internal or external collaboration?

This position requires collaboration with both internal partners and external stakeholders to achieve financial goals and meet contractual obligations.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Optum is a health services and technology company that provides a wide range of solutions to improve healthcare delivery and outcomes. They offer services in healthcare management, data analytics, pharmacy benefit management, and technology solutions to healthcare providers, payers, employers, and government agencies. Optum's ultimate mission is to improve the health system's efficiency and effectiveness, creating a healthier world for everyone. Their purpose lies in collaborating with healthcare partners to address complex challenges, such as improving care coordination, reducing healthcare costs, and enhancing patient experiences. By leveraging data-driven insights and innovative technology, Optum aims to empower healthcare professionals and organisations to deliver high-quality, patient-centered care and drive positive healthcare outcomes for individuals and communities worldwide.

Culture & Values

  • Integrity

    Honour commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future, learn from the past.

  • Performance

    Demonstrate excellence in everything we do.

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