UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. When you work with UnitedHealthcare, what you do matters. It's that simpleand it's that challenging. In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
Purpose of Job: The Finance Manager is a member of the UnitedHealth Pharmaceutical Solutions Finance and Analytics Team and reports to the Finance Director of Pricing. This position is responsible for supporting the pricing and risk related to the pharmacy product offering within UnitedHealth Group. This includes developing pricing guidance, analytical tools, financial performance reporting, and setting new pricing strategies.
Major Responsibilities
- Develop methodologies to quantify financial performance, opportunities, and risks associated with pharmacy management products including Drug Rebates, Pharmacy Network, Benefit Design and Clinical Programs to ensure accurate pricing.
- Recommend and develop new pricing strategies that underwriting can utilize to maintain profitability and remain competitive.
- Model and recommend pricing trends that will be used to set overall pricing guidelines.
- Lead Annual ASO Pharmacy/Underwriting summits.
- Develop and maintain relationship with key underwriting, sales and actuarial contacts to effectively communicate pricing trends and pricing strategies.
- Work with internal pharmacy product owners to understand ongoing performance of and key initiatives within various product areas.
- Report pharmacy profitability to senior management and make recommendations for improving processes that impact pricing and quotes.
- Develop modeling and analytical tools that support the rating tool used by underwriters to underwrite pharmacy.
- Responsible for BOB and client specific rebate projection process.
- Project rebate trends for pricing and recommend guidance based on sound assumptions and factors.
Competencies and Best Practice for High Performers:
- Networking, Collaboration and Consensus Building uses internal networks to get things done; persuades others; gains the support and assistance of others who have a stake in the outcome; and proactively participates in company and business unit initiatives.
- Drive disciplined fact-based decisions.
- Effectively expresses ideas and information in writing and orally to individuals or groups using careful listening, tact and candor, two-way communication, and a high impact communication style.
- Drive change and innovation though continually seeking and implementing innovative solutions; create and support a culture that thrives on continuous change; inspire people to stretch beyond their comfort zone; take well-reasoned risk.
- Uses internal networks to accomplish objectives; persuades others; gains the support and assistance of others who have a stake in the outcome; and proactively participates in Company and business unit initiatives.
- Understands and communicates the Company's short and long-term customer value proposition to achieve the desired goals of UnitedHealth Pharmaceutical Solutions Management.
- Position needed as a result of the Medco contract. Schumacher approved TAF.
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.
Qualifications
- Bachelor's degree (or higher) required, in Finance or Business Management preferred.
- 4+ years experience in the health care industry required; significant pharmacy pricing experience with PBM or health plan is preferred.
- Previous health care pricing/underwriting experience preferred.
- Strong Excel and/or database experience required.
- Strong organizational skills with ability to manage multiple priorities and achieve desired outcomes.
- 1+ years of supervisory experience.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
