Think Beyond The Label Jobs

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.

This role is responsible for coordination and administration of Optum/UHG contracts while supporting Contract Management teams, Value Analysis, and necessary Optum leaders. Collaborate with contract managers and internal business units on recommendations to ensure contract compliance and profitability and provide appropriate education to Care Delivery Organizations. Work with necessary internal Procure to Pay teams to ensure correct pricing and contract adherence.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Ability to maintain contract management and RFP processes, new opportunity requests, status, and reporting

• Support Optum leaders by managing payor requests, credentialing, member grievances, attestations, rebill requests, reimbursement appeals, etc., to maximize contract profitability compliance

• Verify and monitor contracting to ensure appropriate NDAs are in place when sharing any information, creating/redlining contracts and/or SOWs

• Work with Contracting and Operations teams to implement contracts/programs based on agreed upon services/products

• Support payor/client relationships including client meetings, invoicing, and addressing opportunities

• Lead maintenance and organization of contracting repositories and ensure correct contract adherence and pricing within Optum Item Master.

• Facilitate reporting needs for contracting team leveraging existing tools, working with internal teams and external payors/buyers

• Communicate with Optum leaders on contract performance, successes, and improvement areas

• Make recommendations and help in execution of process improvement initiatives for Value Analysis team

• Participation in special projects as assigned by Optum leaders

• Apply knowledge and expertise of third party contracting and healthcare industry to assist in educating and supporting Care Delivery Organization teams on pricing or contract adherence issues

• Collaborate with credentialing specialists to ensure contract compliance

• Travel regionally to meet with groups to review performance of services and to support business needs

• Must be able to perform the essential job functions of this position with or without reasonable accommodation

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:

• 2+ years of experience in healthcare industry

• 2+ years of experience in payor or account management role for healthcare or retailer

• Demonstrated experience in successfully identifying, adopting, and leading change initiatives

• Demonstrated understanding of GPO, Direct, and Local Contract agreements

• Proficient in Microsoft Office Applications

• Demonstrated ability to maintain confidentiality and protect sensitive information

• Demonstrated competence in developing and delivering innovative solutions to diverse and complex problems

• Proven ability to gain alignment across multiple parts of the organization and works in collaboration with stakeholders and peer groups

• Proven ability to establish and maintain effective and cooperative working relationships

Preferred Qualifications:

• ERP experience within Health System

• Project coordination/management experience and effectively prioritize and handle multiple projects and responsibilities

• High level knowledge and understanding of SQL and databases

• Proven solid analytical skillsets

• Proven excellent presentation, organization, oral and written communication skills

• Proven ability to facilitate/translate strategic business requirements into strategic solutions

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $88,000 to $173,200 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.

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.

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.

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.