Jobs · Healthcare

Sr. Director of PBM Health Plan Strategic Partnerships - Remote

Optum · Eden Prairie, MN · 1 mo ago
Healthcare$135k–$231k/yrFull-time

Primary Responsibilities

  • Partners with Client Executives and key business stakeholders to develop and execute a strategic client plan that addresses client's business needs (current and emerging), supports growth, provides measurable value, and increases client engagement / loyalty
  • 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
  • Rifines 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 "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 business across all applicable lines of business (Commercial, Medicare D, and Medicaid as necessary)
  • 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
  • Owes 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

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
  • Proven team development/training/mentor experience including operationalizing development plans and ongoing training to support the team, client, market, and business needs

Preferred Qualifications

  • 3+ years of experience managing PBM health plan client contracts
  • 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

Similar jobs