Director of Network Contracting - Dublin or Letterkenny / Hybrid
Optum is a global organisation 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
About the Role:
As a Fortune 5 business, we’re one of the world’s leading healthcare companies. There are no limits here on the resources you’ll have or the challenges you’ll encounter.
We have been supporting global healthcare systems from Ireland and the UK for more than 20 years, building a dynamic and diverse team of more than 2,100 talented individuals. With a continued record of growth and stability, we're on the constant lookout for fresh talent to join our expanding teams.
Optum Rx is looking for a curious and self-motivated individual to identify and develop strategies that leverage the full breadth of Optum assets to solve healthcare’s biggest challenges in the area of pharmacy services. This role will be responsible for understanding the needs of industry partners and developing business solutions using the data and capabilities of Optum. We are looking for people that can collaborate with business partners, anticipate future industry needs, and have strong financial acumen.

Careers with Optum offer flexible work arrangements and individuals who live and work in the Republic of Ireland will have the opportunity to split their monthly work hours between our Dublin or Letterkenny offices and telecommuting from a home-based office in a hybrid work model.

Primary Responsibilities:

• Anticipates senior leadership team needs and proactively develops solutions to meet them.
• Solves complex problems and develops innovative solutions.
• Accountability for developing contract offer drug pricing for large pharmacy groups, long term care pharmacies, and independent pharmacy in the US.
• Develops the pharmacy networks yielding a geographically competitive, broad and focused access, stable that achieves objectives for cost performance and trend management producing an affordable and predictable product for customers and business partners
• Demonstrate understanding of complex contract language in order to assess financial, non-financial and operational impact and legal implications of requested contract changes
• Forecasts and plans for contract values to be determined by offers for contracting and network teams.
• Analyze network and/or provider performance along key indicators (e.g. compliance with regulatory audits; financial performance; Benefit Cost Ratio; risk adjustment scores; prevalence rates; Unit Cost Reduction ) in order to determine which programs to implement and/ or modify
• Develops tool kits for contract managers, showing levers for value.
• Authorizes deviations from standards.
• Review work performed by others and provide recommendations for improvement.
• May lead functional or segment teams or projects.
• Pharmacy network contract template support and development
• Provides explanations and information to others on the most complex issues.
• Motivates and inspires other team members.

You will be rewarded and recognised 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 providing development for other roles you may be interested in.
Required Qualifications:

• Undergraduate degree or equivalent
• Proven ability to work collaboratively and influence across a matrix environment to deliver financial goals
• Extensive work experience in strategic and business development roles, ideally in related industry (Pharmacy Benefit Management, Pharmaceuticals, Life Sciences, etc.)
• Proven experience developing product pricing & utilizing financial modeling in making rate decisions
• Strong communication and influencing skills with internal and external stakeholders
• Experience interacting with executive leadership
• Experience leading a team of direct reports

Preferred Qualifications:

• Advanced degree – Finance or Accountacy
• RPh or legal degree
• Experience with large scale negotiations (min 2B/contract or greater)
• Experience with client presentations (verbal and Power Point creation)
• Sales Experience

Please note you must currently be eligible to work and remain indefinitely without any restrictions in the country to which you are making an application. Proof will be required to support your application.
All telecommuters will be required to adhere to the United Health Group’s Telecommuter Policy.

At United Health 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 marginalised 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.
Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to gender, civil status, family status, sexual orientation, disability, religion, age, race, and membership of the Traveller community, or any other characteristic protected by law. Optum is a drug-free workplace. © 2024 Optum Services (Ireland) Limited. All rights reserved.