Manager Medicare Strategy and Analytics - Remote

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.

The Manager of Medicare Strategy & Analytics partners with Trade Relations and help lead Medicare Analytics functions in developing strategies that deliver lowest net cost solutions for our Medicare clients, while providing access to best-in-class drug therapies.

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

Primary Responsibilities:

• Perform Medicare client formulary and analytics to provide net cost information to help guide formulary decisions
• Develop, provide, validate, and maintain client specific manufacturer discount source files to ensure operational success
• Serve as a SME to provide ongoing support of manufacturer discounts to appropriate stakeholders
• Interpret, research, and validate manufacturer discount contract terms and conditions / provide information and guidelines to the stakeholders per contractual requirements
• Analyze formularies, drug utilization management programs, and benefit designs to identify business opportunities
• Routinely collaborate with accounting, billing, and financial teams to reconcile manufacturer discounts
• Identify, investigate, and rectify discrepancies between projected and billed discount rates
• Develop and communicate client cost impact reports to appropriate stakeholders
• Support pricing, underwriting, sales, and marketing with RFP requests
• Ensure accuracy of manufacturer discounts database
• Anticipate stakeholder needs and proactively develop solutions to meet them
• Gather and document business requirements
• Adapt departmental plans and priorities to address business and operational challenges
• May lead projects
• May oversee work activities of others

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:

• Bachelor's degree
• Formulary discount, reconciliation, client disbursement and payor experience
• Proficient understanding in discount contracts, brand drugs, therapeutic classes, formularies, drug utilization management programs, and benefit designs
• Proficient in the use of MS Office including Word, Excel, Outlook, and PowerPoint applications
• Demonstrated ability to manage multiple, complex, and concurrent projects; ability to adapt to a high growth and rapidly changing environment
• Demonstrated ability to work collaboratively cross-functionally to deliver results & operational success

Preferred Qualifications:

• MBA or other advanced clinical degree
• Some VBA, SQL, SAS, Tableau experience

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $85,000 to $167,300. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

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

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.