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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Responsible for coordination and administration of Optum/UHG contracts while supporting Contract Management teams, Value Analysis, and necessary Optum leaders. Collaborate with contract managers and internal business units on recommendations to ensure contract compliance, profitability, and provide appropriate education to Care Delivery Organizations. Work with necessary internal Procure to Pay teams to ensure correct pricing and contract adherence.
This position is full time, Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime.
We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Support Optum leaders by managing member grievances, attestations, credit and rebill requests, rebate appeals, etc., to maximize contract profitability compliance
Work with Contracting and Operations teams to implement contracts/programs based on agreed upon services/products
Oversee the successful implementation of contracts and ensure that pricing is aligned
Building and maintaining strong relationships with external partners, including suppliers, vendors, and other third-party organizations
Identifying and addressing any issues that arise during the contract implementation process, and working with stakeholders to find effective solutions
Support client relationships including meetings, issue escalation, invoicing, and addressing opportunities
Lead maintenance and organization of contracting repositories and ensure correct contract adherence and pricing within Optum Item Master
Measuring vendor performance against executed contract terms
Facilitate reporting needs for contracting team leveraging existing tools, working with internal teams and external buyers
Communicate with Optum leaders on contract performance, successes and improvement areas
On going price accuracy management by partnering with stakeholders to align costs
Comfortable with progress and/or data presentation to peers, cross functional teams, CDOs and leadership teams
Make recommendations and help in execution of process improvement initiatives for Value Analysis team
Coordination with Item Management/Data Management teams to ensure item pricing accuracy
Apply knowledge and expertise of third party contracting and healthcare industry to assist in educating and supporting Care Delivery Organization teams on pricing or contract adherence issues
Must be able to perform the essential job functions of this position with or without reasonable accommodation
Other duties as assigned
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:
High School Diploma / GED OR equivalent years of experience
Must be 18+ years of age OR older
2+ years of experience in healthcare industry
2+ years of experience in payor or account management role for healthcare
2+ years if experience with Med Surg/Vaccine/Pharmaceutical contracts
Understanding of GPO, Direct, and Local Contract agreements
Experience with Microsoft Office Applications (Word, Excel, PowerPoint, Teams, Visio, Outlook)
Excellent presentation, organization, oral and written communication skills
Competent in developing and delivering innovative solutions to diverse and complex problems
Flexibility with shifting organizational priorities
Must be able to travel 10% of the time
Ability to work fulltime, Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications:
Experience using Procure to Pay application such as Premier connect, Coupa, and etc.
Experience in ERP Systems such as PeopleSoft
Experience in healthcare supply chain
Effectively able to prioritize and handle multiple projects
Experience successfully identifying, adopting and leading change initiatives
Telecommuting Requirements:
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
Soft Skills:
Ability to facilitate/translate strategic business requirements into strategic solutions
Ability to gain alignment across multiple parts of the organization and works in collaboration with stakeholders and peer groups
Demonstrated ability to maintain confidentiality and protect sensitive information
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 – $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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 marginalized 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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.
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UnitedHealth Group
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