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Healthcare Director of Pharmacy Network Planning – Minnetonka, MN

UnitedHealth Group

Minnetonka, MN
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Job Details

738889 Healthcare Director of Pharmacy Network Planning Minnetonka MN

Healthcare Director of Pharmacy Network Planning – Minnetonka, MN (738889)

Position Description

You’ve been working your way to this opportunity for some time now. You’ve learned to lead. You’ve build a deep expertise in health care network operations. You’ve set your sights on having more impact in more ways. It’s time to join our leadership team and help UnitedHealth Group meet the challenge of shaping where health care will go. We’re driving ever higher levels of sophistication in how provider networks are composed and compensated. Your expertise in provider networks can help us build in the next phase of evolution. In this Director level role, you’ll use your knowledge and analytical skills to help determine how clinical providers group up by specialty and service line. As you do, you’ll discover the resources, backing and opportunities that you’d expect from a Fortune 6 leader.

Primary Responsibilities:

  • Develop and execute strategies that span the Medicare Part D pharmacy network
  •  Direct cross-functional and/or cross-segment teams to develop enterprise - wide focused on quality initiatives deployed through the network
  • Oversee network analysis, both qualitative and quantitative, including network feedback tools• Drive program design and implementation to improve quality, affordability and member experience through new pharmacy network strategies
  • Ensure teams are obtaining, validating, analyzing and communicating relevant data impacting network economics and quality

Are you ready to raise the bar? This position leads all network strategy and development for our global organization. It requires expertise and leadership in network planning and strategy as you manage multiple regional networks.


Required Qualifications:

  • Undergraduate degree or equivalent work experience
  • 5+ years of experience working with a managed care organization or health insurer; or as a consultant in a network/contract management role, such as contracting, provider services, etc.
  • 5+ years of experience in data analysis, including strong knowledge of pharmacy network reimbursement methods
  • 3+ years of experience managing staff and with demonstrated project management or project lead experience
  • Proficiency with all facility / ancillary contract reimbursement methodologies
  • 2+ years of experience with a pharmacy claims systems (PBM)

Careers at UnitedHealthcare Medicare & Retirement.
The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time 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: Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Facility Contracting, Provider Network, Network Development, Provider Services, Contract Negotiating, Network Management, Pharmacy, Minnetonka, MN, Minneapolis, MN, Minnesota


Job Details

  • Contest Number738889
  • Job TitleHealthcare Director of Pharmacy Network Planning – Minnetonka, MN
  • Job FamilyNetwork Management
  • Business SegmentMedicare and Retirement

Job Location Information

  • Minnetonka, MN
    United States
    North America
  • Other LocationsMinneapolis, MN

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelDirector
  • ShiftDay Job
  • TravelYes, 25 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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