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VP, PBM Operations

1 month ago

Eden Prairie, Minnesota, United States Optum Full time

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 VP for PBM Operations & Client Services leads Benefit Operations Management, Implementation and Client Services, Prior Authorization, and PBM Core Operations (claims, eligibility, formulary, testing). The leader is responsible for the 2500+ team members and continually ensuring the organization delivers high quality, superior client & member experiences and continuously drives innovation, improvement, and cross functional collaboration across the PBM.

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

Major Responsibilities:

Serve as a member of the operations senior leadership team and advise executives on external trends, problems, and activities to facilitate both short- and long-range strategic plans to improve operational performance and enhance growth. Set the vision and strategic plan for OptumRx PBM operations & client services and support scaled operations through solid partnership across RX. Uncover new pathways of operational excellence and more efficient use of systems and resources. Innovate through continual review of existing structures, workflows, systems and processes. Leverage data and analytics to influence changes and set direction. Engage with current and prospective clients to showcase PBM operations and client services offerings and abilities. Execute transformation aimed at distinguishing the OptumRx PBM Operations and Client Services value proposition while ensuring we deliver on continuous improvement efforts focused on improving the member and client experience while lowering the cost to serve. Influence stakeholders at multiple levels in the organization. Establish personal and professional credibility by proactively building solid relationships at all levels of the organization. Build and develop teams that can scale while delivering excellence; hire and develop members of the team and continue to mentor and grow the team from within. Demonstrate solid leadership skills and abilities and develop those qualities in their management team through candidate selection, effective onboarding and training, goal setting and mentorship, as well as the ability to make course corrections when needed to get an individual or team back on track.

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

7+ years' proven leadership of scaled operations in a client or consumer-centric organization. 5+ years' experience in leading multi-discipline operations in a complex, matrixed organization. Experience leading sizable organizations, greater than 1k people. Ability to establish effective working relationships with executives and key business partners to drive a change agenda. Demonstrated ability to collaborate cross-functionally with teams fast-moving and dynamic business environment. Capability to build a team and operate with a geographically distributed network of colleagues to solve problems quickly. Demonstrated strategic thinking abilities and an enterprise-wide perspective. Solid communication, influencing, problem solving and negotiation skills.

Preferred Qualifications:

Experience in PBM/ pharmacy industry

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

California, Colorado, Connecticut, Hawaii, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Hawaii, Nevada, New York, Rhode Island, or Washington residents is $XXX to $XXX per year. 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

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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