VP, Payer Relations & Business Development - Multiple Locations
January 13, 2018
Eden Prairie, Minnesota
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) Primary Responsibilities:Lead the cross - business management of Briova Specialty and Briova Infusion to achieve acquisition synergy targets across both current company assets and future potential new entities Work across business partners to establish and cultivate strategic business relationships with key managed care payers, influencers, and customers Develop relationships across health systems in support of sales team efforts within key markets Oversee team of 6 direct reports that manage the daily payer relationships with national, regional, and local health plans and PBMs Oversee the manager and team of contract coordinators that provide daily support to payers through issue resolution, contracting initiatives, and credentialing Support network access adequacy needs through ensuring existing agreements and client relationships are maintained Apply network configuration and incentive - based payment models as appropriate to improve quality and efficiency Direct others to resolve business problems that affect multiple functions or disciplines Apply previous experiences to product, service or process decisions that impact multiple functions and / or customer accounts (internal or external) Use previous PBM / payor or pharmacy experience
Required Qualifications:Undergraduate degree or equivalent experience 10+ years of related experience in the health care industry 8+ years of related experience handling complex payer or provider relationships with accountability for business results 5+ years working in a matrix environment between network, product development, sales, and account management teams 5+ years of management experience 3+ years of project management related experience or the demonstrated equivalent Working knowledge of Medicaid & Medicare reimbursement methodologies Demonstrated experience with client management and account ownership Strong analytical background with working knowledge of pricing concepts, P&L management, and industry levers Must be able to travel 50% of the time or greaterPreferred Qualifications:Masters Strong customer service skills Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others, including but not limited to reimbursement policy standards Strong interpersonal skills, establishing rapport and working well with othersCareers 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. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: Payer, PBM, Payer contracts, Specialty Pharmacy, Infusion, Eden Prairie, MN, Minnesota, Schaumburg, IL, Illinois, Lenexa, KS, Kansas
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.