Sr Director, Health Plans Client Management
Company: Optum
Location: Irvine
Posted on: October 26, 2024
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Job Description:
Optum is a global organization 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.
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The Senior Director of Health Plan Strategic Partnerships partners
with our Health Plans clients on strategic initiatives to ensure
future success. -The Senior Director leads a team of Strategic
Account executive, who partners with our health plan executive team
to analyze how current pharmacy trends interest with our clients'
organizational goals and strategic growth initiatives.
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The Senior Director will have the accountability for building,
maintaining, and expanding relationships with client leadership and
key client stakeholders relative to Medicare Part-D Membership.
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This role will own the overall Medicare Part-D strategy for
maintaining client satisfaction, establishing client expectations
(in accordance with client contracts, agreed upon enhancements),
communicating these expectations with functional Optum teams,
developing client delivery plans, and ensuring consistent Optum
execution that meets or exceeds client expectations.
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If you are located within in EST or CST you will have the
flexibility to remote* as you take on some tough challenges.
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Primary Responsibilities:
Partners with Client Executives and key business stakeholders to
develop and execute a Medicare strategic client plan that addresses
client's business needs (current and emerging), supports growth,
provides measurable value, and increases client engagement /
loyalty
Understands and effectively communicates CMS guidelines to internal
and external customers. -
Builds and maintains repeatable processes relative to CMS Adherence
and Guidelines. -
Establishes, cultivates, and manages, the customer relationship at
multiple levels, (executive suite to solution owners) serving as a
trusted business advisor / partner to the client
Refines client strategy through continual discussions with client
stakeholders, detailed understanding of client context,
anticipation of client needs, and holds design sessions with
relevant Optum leaders to define solutions and execution plans
Acts as "ambassador" for Optum at client, advancing Optum's
interests with client stakeholders. - Represents and articulates
value of Optum solutions to various levels within the client,
including executives, decision makers and key influencers
Supports clients in winning and implementing new Medicare Part-D
business
Ensures contract compliance, including negotiation and reporting of
performance guarantees. -Negotiates contractual agreements,
statements of work, serving as liaison with contracting / legal /
finance
Constantly assesses the value our solutions are delivering and
leads team members to develop approaches that increase the value we
provide and / or increases the impact Optum has on the client's
business
Engages cross functional client teams on the delivery of services,
escalating issues where necessary and driving resolution. -Holds
functional teams accountable to deliver against client requirements
and expectations
Owns successful client renewal process, identifying expansion /
enhancement opportunities, gauging client receptivity, facilitating
contracting processes
Key liaison between client and Optum business leaders
Maintains accurate and current client plan in CRM System
(SalesForce.com), including client planning, opportunity
management, contact management, current solution footprint,
etc.
Ensures Client Satisfaction and client willingness to serve as a
reference
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You'll be rewarded and recognized 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 provide
development for other roles you may be interested in.Required
Qualifications:
5+ years of experience in strategic client relationship management
within a PBM, or Health Plan with direct oversight of a PBM
5+ -years of experience working with senior level c - suite
executives and demonstrating progressively increasing
responsibility -
2+ years of experience leading a team to deliver results
2+ years of experience with PBM Medicaid Medicare client contract
management -
Profit & loss PBM client contract management experience -
Experience messaging, positioning, and presenting information for
maximum customer impact and influence (e.g. leading and
coordinating Executive Review Committees, bi-annual summits,
executive dashboards, Large Case Reviews, etc.)
Experience initiating project plans and successfully manage
projects to full execution
Experience leading the RFP (Request for Proposals) process,
finalist presentations and negotiating client contracts
(specifically, Renewals and Market Checks)
Experience working with complex health care solutions (e.g.,
outsourced health care solutions)
Employee Engagement Experience, specifically, building
high-performing teams, team engagement, and employee retention as
documented by improved employee satisfaction scores
Team development/training/mentor experience including
operationalizing development plans and ongoing training to support
the team, client, market, and business needs
Ability to travel up to 25%
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Preferred Qualifications: -
3+ years experience Health Plan PBM client management experience
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Project management experience
Experience leading client management teams while managing client
performance guarantees
Experience with PBM Medicare Part D and Medicaid -
Experience with RXClaim
Experience with PBM rebates and values -
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*All employees working remotely will be required to adhere to
UnitedHealth Group's Telecommuter Policy
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California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New
York, Rhode Island, Washington, Washington, D.C. Residents Only:
The salary range for this role is $122,100 to $234,700 annually.
Pay is based on several factors including but not limited to local
labor markets, education, work experience, certifications, etc.
UnitedHealth Group complies with all minimum wage laws as
applicable. In addition to your salary, UnitedHealth Group offers
benefits such as, a comprehensive benefits package, incentive and
recognition programs, equity stock purchase and 401k contribution
(all benefits are subject to eligibility requirements). No matter
where or when you begin a career with UnitedHealth Group, you'll
find a far-reaching choice of benefits and incentives. -
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Application Deadline: This will be posted for a minimum of 2
business days or until a sufficient candidate pool has been
collected. Job posting may come down early due to volume of
applicants.
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At UnitedHealth 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 marginalized 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.
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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.
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UnitedHealth Group is a drug - free workplace. Candidates are
required to pass a drug test before beginning employment.
Keywords: Optum, San Marcos , Sr Director, Health Plans Client Management, Healthcare , Irvine, California
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