Senior Strategic Account Executive - Remote
Company: Optum
Location: Loretto
Posted on: October 26, 2024
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Job Description:
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 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.
We are seeking a Senior Strategic Account Executive with a primary
focus on Medicare and Medicaid Sales and Strategy to support our
esteemed Health Plan client, which boasts an annual revenue of
approximately $2 billion. This role is critical in driving growth,
ensuring compliance, and fostering strategic partnerships within
the healthcare and pharmacy benefit management (PBM) sectors. The
ideal candidate will be a seasoned client management executive with
a deep understanding of regulatory affairs and a proven track
record of success in contract management and negotiations.
This role will work with cross functional partners to develop and
execute strategy to support client retention goals, audits, and
innovation.
You'll enjoy the flexibility to work remotely * from anywhere
within the U.S. as you take on some tough challenges. - -
Primary Responsibilities: -
Identify and develop strategic opportunities to enhance client
satisfaction and drive business growth
Formulate and execute strategies to ensure client compliance with
Federal and State regulations governing Medicare and Medicaid
programs
Collaborate with subject matter experts (SMEs) to develop tailored
Medicare strategic initiatives, including initiatives related to
STARs, Plan Finder, and Medication Therapy Management (MTM)
Oversee contract compliance and negotiations, ensuring the
successful execution of contract service delivery for Medicare and
Medicaid, including audits, service level agreements (SLAs), and
contract renewals
Participate in market check processes and client renewals,
providing strategic insights and recommendations to drive client
retention
Identify and capitalize on opportunities for cost avoidance,
offering innovative solutions to enhance client satisfaction and
operational efficiency
Provide oversight and guidance on client implementation of new CMS,
state, and federal requirements, ensuring seamless integration and
adherence to regulatory standards
Lead reporting efforts and deliver data analytics, such as
Quarterly Performance Reviews (QPR), to facilitate informed
decision-making and enhance client engagement
Provide operational oversight, identifying opportunities to
optimize regulatory compliance and operational effectiveness
Assume overall responsibility for audits and serve as a subject
matter expert for Medicare and Medicaid annual readiness
assessments
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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: -
5+ years of experience in Medicare and Medicaid, with a solid
emphasis on regulatory and compliance aspects
5+ years of experience in healthcare or PBM account management,
demonstrating a successful track record in client management and
retention
3+ years of experience leading upsells and growth activities, with
a demonstrated ability to identify and capitalize on business
opportunities
Experience in relationship building, both internally and
externally, with solid matrix management skills
Proficiency in utilizing PBM tools to create marketing materials,
respond to requests for proposals (RFPs), and generate financial
and data reports
Proven excellent executive-level communication skills, with the
ability to effectively communicate complex concepts and
strategies
Willingness to travel up to 25% of the time to meet client needs
and attend relevant industry events
Preferred -Qualifications:
Experience using RXclaim and other PBM specific software
Direct experience in PBM Medicare and Medicaid with solid emphasis
on regulatory and compliance aspects
*All employees working remotely will be required to adhere to
UnitedHealth Group's Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New
York, Rhode Island, or Washington Residents Only: The salary range
for this role is $104,700 to $190,400 annually. 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. - -
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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. -
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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.
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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.
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UnitedHealth Group is a drug-free workplace. Candidates are
required to pass a drug test before beginning employment.
Keywords: Optum, Saint Cloud , Senior Strategic Account Executive - Remote, Other , Loretto, Minnesota
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