Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Director, Industry Relations Business requires a clinical background to support clients in the growing Formulary Management Services (FMS) business segment, including identification and quantification of opportunities to maximize pharmaceutical rebate revenues and evaluation of these opportunities via financial therapeutic class models using client-specific actual claims data. Primary Responsibilities:Identify opportunities to maximize pharmaceutical rebates for Core and Custom formulary clients in the Formulary Management Services (FMS) business segmentApply clinical and business knowledge to prepare quarterly lists of therapeutic classes for financial modeling and create the market baskets to permit importation of client claims data into client-specific therapeutic class modelsCreate and manipulate therapeutic class models to quantify the financial effects on rebate revenues using alternate drug formulary status scenariosVerify drug formulary status in both the calendar quarter of the claims data in the financial model as well as the current quarter for the financial projectionsDetermine rebate rates and conditions applicable to each therapeutic class model for the calendar quarter of the claims data in the model and for prospective scenariosConvert therapeutic class models to format for client presentationExplain therapeutic class financial models to client-facing team members in preparation for client meetings including quarterly Rebate Round Table (RRT) presentationsCreate client-specific Excel tables of the top 20 WAC price changes in the preceding 12-month periodQualify and quantify client-specific rebate billing discrepancies discovered in the process of therapeutic class modeling and resolve in collaboration with client-facing team members and Rebate ManagementNegotiate with pharmaceutical manufacturers to obtain rebate rates, terms, and conditions consistent with the business strategy developed by the IRB team
Required Qualifications:Bachelor's Degree2+ years of PBM or health plan experience3+ years of experience in financial analyses including the use of financial modeling tools and spreadsheets and interpretation of financial model resultsProficient in the use of MS Office including Word, Excel, Outlook, and PowerPoint applicationsPreferred Qualifications:Experience in negotiating and writing pharmaceutical rebate agreementsClinical experience (e.g., pharmacist, nurse, physician)Communicates effectively including use of active listening skillsShows compassion and respect for coworkers and clientsDemonstrates ability to lead by example with IntegrityPursues excellence in accuracy and precision of work Writes clearly and concisely and demonstrates ability to simplify description of complex subjectsActively pursues continuous quality/process improvement in self and work tasksDemonstrates ability to innovate and solve problems and tasks with initiative and ingenuityCareers 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) 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 Keywords: Director, Industry Relations Business, Pharmaceutical rebate agreements, PBM, Health plan experience, Telecommute, telecommuter, remote, work from home, Princeton, NJ, New Jersey, MN, Minnesota, TX, Texas, New York, NY, CT, Connecticut
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.