Vice President Health Plan Client Management - PBM - Remote
Vice President Health Plan Client Management - PBM - Remote
Optum
Lansing, MI
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The Vice President of Strategic Accounts for the OptumRx Health Plan segment is accountable for the overall success and contract execution of high-profile large Health Plan clients. As Vice President, you will be responsible for developing deep trusted relationships with C-suite executives and pharmacy/business leaders from these accounts that drive strategic collaboration and promote long-lasting, mutually beneficial partnerships. You will also hold accountability for leading and developing a high-caliber, well-engaged client management team. Success will be measured by client/market growth and retention, strategic leadership, financial performance, contract execution, employee engagement and the overall satisfaction of assigned clients.
As Vice President, you must be comfortable operating and leading in an extremely fast-paced, complex environment and able to quickly understand/interpret how market events (i.e., federal regulations, state/local regulations, CMS requirements, drug manufacturer events, etc.) impact Health Plan clients and to advise proactively and react accordingly. You must possess a high degree of confidence, leadership strength, and executive presence. This role also requires a well-demonstrated business/financial acumen; salesmanship; innovation and the ability to successfully drive complex projects.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- Establish and maintain solid personal relationships with key executives and decision-makers, including those within key consultant firms
- Collaborate internally with senior executives and peer leaders from across the Optum Enterprise to develop strategic and tactical plans to achieve desired annual growth targets and drive optimal service delivery
- Maintain a solid understanding and ownership accountability for the contracts we maintain with assigned health plan clients and ensure proper monitoring and execution of contract deliverables
- Oversee and manage all client renewal and market check activities working closely with several internal (e.g., pricing, underwriting, legal) and external (e.g., consultants; client) constituents
- Set, communicate, monitor and be accountable for the development and deployment of our Client Mgmt. strategic service model and the successful attainment of metrics-driven performance goals and objectives amongst assigned client management team members
- Manage the profit and loss statements for each assigned account and manage to an operating budget, upsell targets, and revenue growth goals
- Accountable for establishing a solid bench; recruiting and developing top talent; driving a motivated and engaged team; and developing a succession plan to accommodate for new growth
- Forge high trust, highly effective internal relationships with teams such as underwriting, legal, product development, industry relations, operations and finance to identify strategic opportunities and drive a culture of continuous improvement
- Closely monitor, engage and serve as a key point of escalation for high profile client issues
- Provide input to product development teams to develop new or enhance existing products to meet market needs
- Be a visible representative to the broader marketplace, and as such, demonstrates visionary thinking that sustains a competitive advantage Always demonstrate and drive service excellence when dealing with internal and client constituents
- Collaborate with sales team in finalist activity and support areas to complete requests for proposals and other information in a timely, accurate and professional manner
- Participate in sales meeting demonstrating high energy and critical thinking while communicating a unique value proposition
Required Qualifications
- 10+ years of health care experience and recent leadership experience
- 10+ with a proven track record of success
- 5+ years of experience in Medicare, with a solid emphasis on regulatory and compliance aspects
- Experience working within the PBM/managed care pharmacy industry and deep understanding of its evolving dynamics and core competencies
- Recent experience working with senior-level C-Suite executives and ability to lead innovative and forward-thinking discussions
- Experience and understanding of PBM pricing and contracting models
- Account Management experience with high profile Health Plan clients and demonstrated progressively increasing responsibility for client relationship management and consultation
- Experience leading and developing a high-performing team to deliver results
- Experience and demonstrated success in owning and managing client profitability profiles
- Experience working with sales teams and support areas to complete Requests For Proposals (RFPs) and finalist presentations
- Experience interpreting financial statements, identifying trends and driving strategic recommendations
- Experience managing an operating expense budget
- Experience interpreting complex contracts; balance internal and external views; and effectively manage client negotiations
- Extensive experience developing and delivering formal presentations to message and position information for maximum customer impact and influence
- Experience facilitating complex negotiations using effective communication and listening skills
- Program management experience
- Experience effectively navigating and driving results in a highly complex, matrix environment
- Willing or ability to travel up to 50%
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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.
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Seniority level
Executive -
Employment type
Full-time -
Job function
Business Development and Sales -
Industries
Hospitals and Health Care
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