UnitedHealth Group

Director of Network Pricing - Telecommute

Posted on: 6 Feb 2021

Schaumburg, IL

Job Description

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)

The Senior Pricing Director with OptumRx will lead the underwriting initiatives to ensure that cases are appropriately assessed from a risk perspective and are appropriately priced for risk level. This role oversees all the direct health plan underwriting responsibilities, and drives RFP strategy. This individual will provide guidance on evolving new strategies in Underwriting and develop a team to support the deliverables. This individual will be accountable for overseeing the production of the rating and underwriting services for new business and/or existing accounts.

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

Primary Responsibilities:

* Manage, train, and develop a competent and motivated staff of underwriters and pricing analysts
* Monitor performance and provide overall guidance
* Participate with senior management in the development and implementation of policies, marketing, and business strategy
* External facing, working directly with prospective and current clients

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:

* Bachelor's degree in Math, Finance, Actuarial Science, or related field
* 10+ years of experience in finance in the healthcare industry
* 5+ years of management experience
* Intermediate level of proficiency with MS Word, Excel, and PowerPoint (ability to create pivot tables and other advanced functions in Excel is preferred)
* Must be organized, detail oriented, and able to translate big picture ideas into client objectives
* Must have Proven negotiation and persuasion skills
* Ability to travel nationally about 10%
* If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

* Superior oral and written communication skills
* PBM acumen/experience
* Underwriting for any variety of products (PPO, HMO, self-funded, ASO/fully-insured, group, or individual)

Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)

The salary range for Colorado residents is $110,200 to $211,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Job Keywords: Director of Network Pricing, Director, Network Pricing, Finance, Management, PBM Acumen, PPO, HMO, ASO, Optum, OptumCare, OptumRx, UnitedHealth Group, UHG, Schaumburg, IL, Illinois, Irvine, CA, California, Eden Prairie, MN, Minnesota, Hoboken, NJ, New Jersey, Telecommute, Telecommuter, Telecommuting, Work from home, WFH, Work at home, Remote

UnitedHealth Group

Hopkins, MN

UnitedHealth Group Incorporated operates as a diversified health care company in the United States. It operates through four segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment offers consumer-oriented health benefit plans and services for national employers, public sector employers, mid-sized employers, small businesses, and individuals; health and well-being services to individuals age 50 and older, addressing their needs for preventive and acute health care services, as well as services dealing with chronic disease and other specialized issues for older individuals; and Medicaid plans, Children’s Health Insurance Program, and health care programs; and health and dental benefits.

The OptumHealth segment provides access to networks of care provider specialists, health management services, care delivery, consumer engagement, and financial services. This segment serves individuals through programs offered by employers, payers, government entities, and directly with the care delivery systems.

The OptumInsight segment offers software and information products, advisory consulting arrangements, and services outsourcing contracts to hospital systems, physicians, health plans, governments, life sciences companies, and other organizations. The OptumRx segment provides pharmacy care services and programs, including retail network contracting, home delivery, specialty and compounding pharmacy, and purchasing and clinical, as well as develops programs in areas, such as step therapy, formulary management, drug adherence, and disease/drug therapy management. UnitedHealth Group Incorporated was founded in 1974 and is based in Minnetonka, Minnesota.

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