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 of Pharmacy Services Billing & Reimbursement is responsible for the accurate administration of financial operations processes in compliance with agreements with Optum's industry business partners and customers. The Director will oversee monthly and quarterly billing and collection of contracted value on behalf of our clients, reviewing pharmaceutical agreements, reviewing drug formularies, updating contract parameters in our financial systems and interacting with pharmaceutical industry counterparts to resolve payment discrepancies. Primary Responsibilities:Drive the strategy for information extraction and reporting to Senior leadership team to show billing and/or collection completeness, representing the team in cross - departmental meetings with Business / Contracting, Client Management, Clinical Services, etc. and meeting with peer managers to continually review our processes and implement improvements Deliver strategic initiatives, including billing systems initiatives to retool, integrate, and increase the capabilities of billing, collections, and reimbursement platforms Lead efforts to validate data quality for information pertinent to calculation of billed amounts and reimbursement for Optum's pharmacy care services customers Provides oversight of billing data requests, audit requests, and appropriate coordination of global resources to validate stakeholder needs are met Effectively manages accounts receivable, ensuring achievement of DSO metric targets and meeting all corporate operating cash flow commitments Spearhead the development of new teams to push contract data management capabilities forward Monitors results of key strategic initiatives to ensure cost benefit projections are being achieved or plans are adjusted accordingly Oversee initiatives that better integrate contract information into billing platforms, creating flexibility for business Oversee budgeting and balancing processes with Optum Finance Advises financial controls to balance and create greater transaction security pertaining to collection and reimbursement Advises upstream teams regarding feasibility of implementation for various agreements with industry partners Accountable for resolution of cash application issues or other required corrective actions to validate quality delivery upon customer commitments Provides exceptional team leadership with a focus on employee engagement, development, retention, and attracting top talent into the organization
Required Qualifications:Extensive relevant financial management experience with strong experience in a leadership role Proven financial operations (billing, collections, cash management) leadership role Demonstrated success in role requiring interaction with key technology processes, systems Bachelor's degree in accounting or finance Strong business and financial acumen. Proven experience driving business performance in a high growth environment. Always looking for opportunities to improve and grow the business Ability to anticipate planning, forecasting, and operational issues; determine the impact, and develop and implement an appropriate action plan Strong communication and influencing skills with internal and external stakeholders Ability to work collaboratively and influence across a matrix environment to drive revenue enhancement and expense management initiatives Strong executor. Establishes aggressive goals and delivers results. Structures business disciplines to facilitate quick and data based decisions and ensure accountability for execution Desire and ability to "roll up your sleeves" to learn the business and drive business results Exceptional leadership skills Demonstrated ability to recruit, develop and retain top financial talent. Strong coach and mentor within the finance team and across the organization Infrequent, but possibility of travel - including international travel Preferred Qualifications:Pharma Billing management or pharmaceuticals industry finance experience M.B.A. or other advanced degree in relevant field (ex. - finance, accounting) Data quality resolution experience Familiarity with pharmaceuticals industry Familiarity with US and global pharmacy market dynamics, regulatory environment Global experienceCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do 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. Job Keywords: Pharmacy, Billing, Pharmacy Billing, Reimbursements, Healthcare Billing, Management, Healthcare Management, Leadership, Director, Financial Management, Dublin, Ireland
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.