[Hiring] Strategic Medical Contract Leader @UnitedHealth Group

Role Description

This role will be responsible for expanding medical payer access for Optum Specialty Pharmacy (OSP) through the development, negotiation, implementation, and management of medical benefit contracts. The position will support strategic growth initiatives by identifying access gaps, prioritizing payer opportunities, and driving execution of contracting strategies that increase covered lives, improve market access, and support revenue growth.

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

• Lead efforts to expand OSP participation with targeted medical payers and health plans
• Identify and prioritize contracting opportunities using medical access analytics, OON reporting, market intelligence, and revenue opportunity assessments
• Develop and execute contracting strategies designed to increase patient access and improve reimbursement economics
• Lead negotiations, contract implementation activities, and ongoing payer relationship management for medical benefit agreements
• Collaborate with Finance, Operations, Account Management, Network Management, Legal, and Compliance to support medical contracting initiatives
• Monitor contract performance and identify opportunities for optimization, expansion, and enhanced payer partnerships
• Support achievement of enterprise growth objectives through increased medical payer access and diversification of the payer portfolio
• Maintain awareness of evolving market trends, alternative access models, and competitive dynamics impacting specialty pharmacy access

Qualifications

• 3+ years of experience in managed care, healthcare payer contracting, provider network management, specialty pharmacy, PBM, infusion, or related healthcare field
• Experience negotiating and managing payer, provider, or healthcare-related contractual agreements
• Experience working with health plans, PBMs, employers, TPAs, provider organizations, or integrated delivery systems
• Knowledge of medical and pharmacy benefit structures, reimbursement methodologies, and network access strategies
• Demonstrated ability to build and maintain relationships with internal and external stakeholders

Requirements

• Proficiency with Microsoft Office applications, including Excel and PowerPoint
• Demonstrated ability to manage multiple priorities in a fast-paced environment
• Demonstrated solid analytical and problem-solving skills with the ability to evaluate business opportunities and financial impact
• Demonstrated solid written and verbal communication skills, including presentation and negotiation capabilities

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

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.