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Vice President jobs at Cigna

- 62 jobs
  • Chief Supplemental Health Strategy and Execution Officer

    The Cigna Group 4.6company rating

    Vice president job at Cigna

    Reporting to the President of Supplemental Health Solutions, the Chief Supplemental Health Strategy and Execution Officer will lead the development and execution of the strategic vision for the business to drive growth, enhance market position, and optimize the customer experience. As a member of the Supplemental Health leadership team, the role is accountable for shaping the long-term business strategy by partnering closely with teams across the value chain to understand stakeholder needs and broader external environmental factors that impact the market. They will play a key leadership role in ensuring the Supplemental Health leadership team, matrix partners and senior executives are aligned to a compelling vision of the future, while ensuring investments in the business deliver the expected business outcomes. **Key Responsibilities:** **Strategic Leadership** + Lead a team of professionals dedicated to the creation and execution of the organization's strategy and foster an environment of personal development and accountability + Work closely with Supplemental Health leaders to define business priorities, assess industry trends, and identify opportunities for innovation and delivery excellence + Partner across the Supplemental Health leadership team and Cigna executive leaders to develop the business strategy and vision + Lead across a matrixed environment to ensure alignment and execution of the business strategy while ensuring investments deliver the required business outcomes + Communicate the strategic roadmap, including setting measurable objectives, and creating a compelling vision for the future of the business **Portfolio Execution** + Lead the development of a multi-year strategic roadmap, inclusive of clear objectives, investment requirements, key milestones, and expected business value + Partner across the organization to create and prioritize business cases required to execute the strategic roadmap and drive participation in the Enterprise Portfolio process: + Develop and communicate a compelling business case for the Supplemental Health Business + Advocate for annual Enterprise Portfolio investments in Supplemental Health, ensuring prioritization of key capability needs + Oversee and monitor the execution of the portfolio, ensuring alignment with the strategic roadmap and business objectives of Supplemental Heath + Drive cross-functional collaboration to ensure initiatives are delivered on time, and within scope and budget + Implement processes for monitoring progress, identifying risks, and making necessary adjustments to ensure optimal outcomes + Develop and lead the strategy execution process including initiative intake, evaluation and prioritization **Financial Oversight** + Oversee and manage the financial reporting process on behalf of the business, including partnering with Finance and other stakeholders to evaluate and communicate financial outcomes and projections, and develop the multi-year financial plan + Lead the development of budgets related to strategic initiatives, ensuring cost-effectiveness while achieving business objectives + Analyze financial data and performance metrics to assess the ROI of strategic projects **Stakeholder Management** + Collaborate with internal and external stakeholders, including leaders from supporting organizations, to align strategies and improve execution + Present strategic updates, analysis, and recommendations to senior leadership, Cigna executive leadership and other key stakeholders + Maintain and deliver relevant business and initiative documentation to drive transparency within Supplemental Health, across all stakeholders, and with Cigna executive leadership **Change Management & Continuous Improvement** + Lead across the Supplemental Health organization to create a culture of continuous improvement by analyzing and optimizing processes, tools, and methodologies + Drive collaboration and surface cross-functional pain points to ensure execution excellence and an optimal customer experience + Lead change management efforts related to the execution of strategic initiatives, ensuring smooth transitions and buy-in from all relevant parties **Organizational Leadership** + Supports the President of Supplemental Health to manage and execute the operating model, connecting all functions to the overall business priorities and strategies + Drives annual creation of organizational goals and key priorities + Leads a management process that drives transparency into organizational performance, highlighting leading and lagging indicators of business performance, and driving consistent messaging across all levels of the organization + Drives decision-making and alignment, escalating risks and opportunities **Key Skills Required:** + **8+ years management experience** + **5+ years of Supplemental Health experience, specifically life & disability** + Experience influencing without authority. Possessing strong influential leadership skills as you communicate with senior leaders across the organization. + Prior experience with managing a portfolio and/or working across a matrixed environment, specifically with technology partners. A team builder who has experience connecting with staff both on an individual level and groups; ability enforce accountability + Proven capability of developing strategy and executing this strategy + Prior experience with transforming operations + Proven understanding of the customer journey (claims, onboarding, commissions/billing...) + Visionary thinker with a strategic mindset + Successful experience managing complex initiatives to completion in a highly matrixed organization + Results-oriented with a focus on operational efficiency and high-impact execution + Deep understanding of how operations and technology intersect to create customer experiences + Collaborative leader with excellent relationship-building and influencing abilities + Adaptable and capable of navigating complex and evolving challenges + Willing to challenge the status quo with new ideas, approaches and solutions + Effectively pivot between strategic development and tactical deployment If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 186,200 - 310,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $144k-201k yearly est. 60d+ ago
  • Sr. Vice President, Sales - Pharmacy Benefit Services

    Cigna 4.6company rating

    Vice president job at Cigna

    The Sr. Vice President of Sales is responsible for leading our sales strategy and execution across Pharmacy Benefit Services (PBS) and providing sales support for other Evernorth services. This executive will be responsible for driving new client relationships, expanding existing client relationships, and collaborating with consultants/brokers across the diverse healthcare system. The Sr. Vice President of sales will develop a high quality sales division. There will be a focus on working with senior leaders across the enterprise. This role is responsible for creating an atmosphere where people are engaged, rewarded for positive progress, and share a strong sense of ownership of the organization. Key Responsibilities: * Strategic Leadership: Develop and execute a comprehensive sales strategy aligned with corporate goals, focusing on PBS as well as support for Evernorth services and Cigna Healthcare. * Strategic Growth: Drive top-line growth through new client wins, upselling, and cross-selling to existing clients, including health plans, employers, TPAs, and government entities. Assess and evolve sales methodology as appropriate to ensure organization remains competitive in dynamic marketplace. Develop and drive the consultant relations strategy in order to win and retain business. * Team Management: Build, mentor, and lead a high-performing sales organization, including regional VPs, account executives, and business development teams. * Market Engagement: Cultivate executive-level relationships with key clients, consultants, brokers and prospects. Serve as a trusted advisor and thought leader in the PBS and healthcare services space. * Market Intelligence: Monitor industry trends, competitive landscape, and regulatory changes to inform go-to-market strategies and product positioning. * Collaboration: Partner with Product, Marketing, Operations, and Clinical teams to ensure alignment of sales initiatives with service delivery and innovation. * Performance Metrics: Establish KPIs and sales targets. Monitor performance and implement corrective actions to ensure consistent achievement of goals. Qualifications * Bachelor's degree required. MBA is preferred. * 15+ years of sales experience within the PBM or healthcare industry; previous sales leadership experience required. * Experience in managing complex client relationships required. * Ability to organize highly flexible/leveraged team and develop/implement supporting processes in a fashion that drives efficiency, responsiveness, and standardization in an environment where clients expect customization and dedicated teams. * History of developing new and innovative sales programs. * Solid understanding of healthcare market dynamics and industry regulations/initiatives. * Extensive leadership experience; including proven ability to lead teams in meeting client retention goals and growing, developing, and retaining critical resources. * Ability to affect organizational change to support client retention and growth. * Ability to travel 50%+. Open to locations not listed on job posting. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $183k-260k yearly est. Auto-Apply 35d ago
  • Vice President, Digital Initiatives

    Centene 4.5company rating

    Remote

    Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Responsible for developing and executing strategies to deploy individual initiatives/solutions focused on improving member, provider and team member experience Oversee the implementation of the organization's digital initiatives and establish a multi-year strategy to accomplish business objectives. Lead a team of initiative and product owners. Partner with technology teams to continually improve methodologies utilized that serves customers and optimizes efficiency. Oversee and manage the engagement functions of solution business requirements, KPIs, and value capture. Partner with Business and Digital leadership to document and manage initiative change management plan. Engage with IT partners to manage solution design, delivery, and deployment. Collaborate with Customer Leadership to develop, enhance, and optimize solutions within a defined portfolio Provide strategic leadership for the development of resources to develop and deploy solutions. Education/Experience: Bachelor's Degree in Business Administration, Healthcare Administration, Information Technology, related field or equivalent experience required. 10+ years of project management experience required. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff required.Pay Range: $185,200.00 - $352,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $185.2k-352.7k yearly Auto-Apply 3d ago
  • Vice President, Finance

    Centene 4.5company rating

    Remote

    Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Provide leadership, oversight and proactive management of all aspects of finance for the Business Unit. Candidate must reside OR relocate to TX. Oversee all finance related activities for business unit including developing and monitoring progress against Annual Operating Plan. Responsible for financial analysis, identification of month end financial drivers, and forecasting including headcount planning to ensure compliance with state requirements. Responsible for identifying medical cost trends and leadership of medical cost improvement initiatives. Perform financial impact analysis for new contracts and support negotiations. Review monthly performance and financial results of the business units and provide recommendations, rationale for variances and impact to forecast to senior management. Responsible for the business unit's contribution to corporate. Perform duties as Chief liaison between Corporate Finance and the Business Unit (or Acaria Health). Establish financial strategic vision, objectives, policies and procedures in support of the overall strategic plan. Oversee and validate pricing models and lead initiatives to identify inefficiencies and areas of development and improvement. Direct health plan analytical needs and coordinate reporting strategy. May lead rate setting activity and coordinate corporate and state actuaries. Acaria Health:Oversee monthly and quarterly variance reporting and adjustments. Acaria Health: Responsible for month end financial close documentation, accounting and reporting to Corporate inclusive of financial drivers, forecasting including headcount planning to ensure compliance with state requirements. Acaria Health: Responsible for identifying cost and expense trends and leadership of margin growth and improvement initiatives. Acaria Health: Perform underwriting and forecasting for new contracts. Education/Experience: Bachelor's Degree in Finance, Accounting, Economics, Business Administration or equivalent experience required. Master's Degree preferred. 8+ years in a high-level finance role in the healthcare or insurance industry required. revious management experience including responsibilities for hiring, training, assigning work and managing performance of staff. For AcariaHealth: Education/Experience: Bachelor's degree in Finance, Accounting, Economics, Business Administration or equivalent experience. Master's degree preferred. 8+ years in a high-level finance leadership role in the healthcare or insurance industry, Specialty Pharmacy experience considered a bonus. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. CPA preferred.Pay Range: $185,200.00 - $352,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $185.2k-352.7k yearly Auto-Apply 3d ago
  • Vice President, Finance

    Centene 4.5company rating

    Remote

    Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Provide leadership, oversight and proactive management of all aspects of finance for the Business Unit. Oversee all finance related activities for business unit including developing and monitoring progress against Annual Operating Plan. Responsible for financial analysis, identification of month end financial drivers, and forecasting including headcount planning to ensure compliance with state requirements. Responsible for identifying medical cost trends and leadership of medical cost improvement initiatives. Perform financial impact analysis for new contracts and support negotiations. Review monthly performance and financial results of the business units and provide recommendations, rationale for variances and impact to forecast to senior management. Responsible for the business unit's contribution to corporate. Establish financial strategic vision, objectives, policies and procedures in support of the overall strategic plan. Oversee and validate pricing models and lead initiatives to identify inefficiencies and areas of development and improvement. Direct health plan analytical needs and coordinate reporting strategy. May lead rate setting activity and coordinate corporate and state actuaries. Education/Experience: Bachelor's Degree in Finance, Accounting, Economics, Business Administration or equivalent experience required. Master's Degree preferred. 8+ years in a high-level finance role in the healthcare or insurance industry required. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. CPA preferred. Position Location: Remote Nationwide Pay Range: $168,500.00 - $320,500.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $168.5k-320.5k yearly Auto-Apply 41d ago
  • Vice President, Underwriting, E&S

    Amtrust Financial Services, Inc. 4.9company rating

    Remote

    AmTrust Financial, a fast-growing P&C Insurance company, is seeking an experienced and strategic Vice President, Underwriting E&S. The role involves leading the underwriting activities with a focus on Excess & Surplus (E&S) lines for high hazard general liability insurance. The Vice President will work closely with departments like claims, risk management, finance, and actuarial to ensure that the underwriting practices align with the organization's strategic goals. This senior leadership role requires an experienced underwriting professional capable of making significant contributions to our growing business. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust organization. Responsibilities Oversee the underwriting team within the primary casualty and lead excess space to achieve financial goals, including premium, loss ratio, retention, commissions, pricing, new business, premium collection, and expense management. Monitor and analyze evolving market conditions to inform strategic underwriting decisions. Assume direct responsibility for broker development and management, including devising marketing plans and fostering profitable relationships. Participate in annual product development and planning processes. Continuously evaluate market dynamics to ensure competitive and responsive underwriting practices. Champion innovation and continuous improvement of underwriting processes, systems, and technologies. Stay abreast of changes in the insurance landscape to guide product and pricing strategies which match up with customer needs and marketplace expectations Performs other functionally related duties as assigned. Qualifications Required: · 20+ years of commercial lines property and casualty experience, with a specialized focus on E&S underwriting for high hazard general liability insurance. · Demonstrated expertise in underwriting within relevant classes of business, including advanced risk assessment skills with product specialization. · Demonstrated proficiency in cultivating and managing strategic relationships with wholesale distribution partners, contributing to sustained growth and market penetration within the Excess & Surplus insurance sector. · Exceptional communication and negotiation skills, with the ability to engage effectively with internal and external stakeholders. · Ability to independently prioritize tasks and meet strict deadlines. · Proven leadership abilities, with experience in developing and leading high-performing teams. · Bachelor's degree or higher in business, finance, or a related field. · Detail-oriented and capable of working in a fast-paced environment. Preferred: · CPCU or other industry certification. · Master's degree in business, finance, or a related field. The expected salary range for this role is $165,000-$250,000/year. Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. #LI-MM1 #LI-HYBRID What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future. Not ready to apply? Connect with us for general consideration.
    $165k-250k yearly Auto-Apply 20h ago
  • VP, Provider Services & Experience

    Humana 4.8company rating

    Remote

    Become a part of our caring community and help us put health first The Vice President, Provider Platforms and Experience is a strategic technology executive at Humana, responsible for leading the enterprise-wide platform strategy for provider platforms, servicing and engagement, across all insurance lines of business. This leadership role focuses on optimizing the provider journey, ensuring seamless interactions, and driving technology alignment with the specialized needs of Humana's provider network, while supporting regulatory and operational requirements unique to this segment. This is also a crucial single leader who'll partner with the enterprise around building capabilities to ultimately service one of most important customers, the provider. Key Accountabilities: • Enterprise Provider Experience Strategy - Spearhead the modernization and integration of Humana's provider technology, servicing and experience platforms across all insurance lines of business. Ensure these systems support efficient and simplified provider onboarding, credentialing, communication, and data management with high accuracy, scalability, and compliance. Partner with key servicing organizations (e.g., digital, growth, data, AI, infrastructure, cybersecurity) to define, simplify, and enhance provider touchpoints. Partner with enterprise business and technology leaders for Provider to both launch the provider next best action engine and standup provider engagement and product build capabilities. Prioritize capabilities into core, adjacent, and transformational capability horizons to address pain points • Provider Technology Leadership - Own the technology strategy and execution for Humana's provider platforms, servicing and engagement operations. Ensure platforms meet the unique regulatory, operational, and experience requirements of the provider segment. Collaborate closely with segment and enterprise technology leaders to align technology investments with business objectives and compliance mandates. • Platform Modernization - Drive the transformation of legacy provider systems into agile, interoperable platforms that support real-time data exchange, automation, and seamless integration across: - Provider Onboarding, Credentialing and Contracting: Streamline onboarding and verification processes to enhance provider engagement. - Provider Communications & Support: Ensure timely, accurate, and targeted communications, and facilitate easy access to support and resources. - Provider Technology Enablers: Deliver key technology enablers required to achieve our strategy, including provider systems of record, provider mastering, agentic platform deployment, portals, etc. - Claims & Payment Servicing: Accountable for provider, contract and pricing setup. Partner with platform teams (e.g. Claims), to ensure efficient claims management, accurate payment processing, and transparent reconciliation for providers. - Regulatory Reporting: Support timely and accurate submissions to state and federal agencies for provider-related compliance. Strategic Importance to Humana - The Vice President, Provider Platforms and Experience, is a strategic technology executive at Humana, responsible for leading the enterprise-wide platform strategy for Humana's Provider platforms across all insurance lines of business. In addition to this broad scope, the role carries dedicated accountability for partnering with key business and technology leaders in the deployment of technology strategies to enable enterprise-wide provider servicing and engagement. Oversees ~300 resources and ~50 applications, however the enterprise impact on all provider servicing is significant and paramount strategically. In today's dynamic healthcare environment, the adoption of modern, innovative, and transformative technologies is essential to advance provider servicing and engagement. Central to this effort is the simplification of complex processes through automation and intelligent design, reducing administrative friction and enabling providers to focus on care. The rapid iteration and delivery of agentic and AI-powered solutions empower Humana to streamline provider interactions, anticipate needs, and deliver personalized, seamless experiences at scale. Leveraging these technologies allows for the deployment of intuitive self-service tools, real-time support, and actionable insights, all of which drive operational efficiency and provider satisfaction. By maintaining a relentless focus on modernization and intelligent process simplification, Humana ensures a leading-edge provider experience that supports ongoing growth, regulatory requirements, and superior outcomes for both providers and members. Key Responsibilities: Strategic Technology Leadership & Segment Partnership - Serve as the strategic technology leader for Humana's Provider platforms across all insurance lines. Ensure technology investments are aligned with enterprise priorities and the distinct regulatory and operational needs of these segments. Translate business strategies into actionable technology roadmaps that drive compliance, scalability, and provider-centric innovation. Provider Platform Stewardship - Oversee the modernization and integration of platforms supporting provider enrollment, credentialing, contracting, directory management, and servicing. Manage intake and prioritization of business needs, ensuring timely, value-driven delivery across interconnected systems. Collaborate with enterprise platform teams to maintain alignment and operational continuity. Architecture & Engineering Excellence - Lead solution and domain architecture for Provider platforms, ensuring interoperability, scalability, and resilience. Drive modernization of legacy systems through cloud-native, API-first, and real-time data exchange architectures. Oversee application and data engineering to ensure alignment with enterprise standards and digital transformation goals. Interoperability & Ecosystem Integration - Ensure seamless integration between Provider platforms and adjacent domains such as Core Admin, Claims, Benefits, Membership, Utilization Management, and Care Management. Champion platform interoperability to support dynamic provider engagement, regulatory reporting, and enhanced digital experiences across Medicare and Specialty lines. Financial & Vendor Governance - Manage complex technology budgets and vendor relationships to ensure strategic alignment and cost-effectiveness. Lead contract negotiations, performance oversight, and governance of third-party partners supporting Provider platforms. Regulatory Compliance & Risk Management - Ensure all platforms meet enterprise standards for cybersecurity, data governance, and regulatory compliance. Proactively identify and mitigate risks related to data integrity, system performance, and regulatory reporting. Operational Excellence & Innovation Enablement - Drive operational excellence across provider platforms by implementing intelligent automation (e.g., RPA, BPM), advanced analytics, and AI/ML to streamline workflows, reduce errors, and elevate service quality. Architect scalable, cloud-native solutions using microservices, containers, and serverless technologies to ensure agility and resilience. Enable real-time insights through modern data pipelines and predictive analytics, while enhancing provider experiences via secure, self-service portals and APIs. Foster innovation through emerging technologies like generative AI and NLP, supporting new business models and continuous improvement in provider engagement and servicing. Talent Development & Organizational Leadership - Lead and develop high-performing, global technology teams. Foster a culture of accountability, innovation, and continuous improvement. Build organizational capabilities to support evolving business needs and enterprise-wide transformation. Use your skills to make an impact Required Qualifications: • Education: Bachelor's degree in Computer Science, Information Technology, or related field. • Enterprise Engineering Leadership: 10+ years leading large-scale, global engineering organizations in healthcare, insurance, or regulated industries. • Platform Modernization: Proven success modernizing legacy systems and architecting scalable, cloud-native, API-first platforms across Provider or related industry domains. • Automation & Optimization: Demonstrated ability to drive enterprise-wide automation, interoperability, and performance improvements in provider or related regulated industry workflows. • AI & Emerging Tech: Hands-on experience applying AI, machine learning, and digital technologies to transform operations and enhance member/provider experiences. • Medicaid, Specialty Technology Strategy: Deep understanding of CMS regulations specific compliance, with experience aligning technology investments to segment growth and regulatory needs. • Security & Compliance: Strong background in cybersecurity, data governance, and risk mitigation across complex, interconnected platforms. • Financial & Vendor Management: Expertise in managing multimillion-dollar technology budgets and strategic vendor partnerships, including contract negotiation and performance oversight. • Global Team Leadership: Proven ability to build, mentor, and scale high-performing engineering teams across geographies, fostering innovation and accountability. • Strategic Execution: Strong analytical and problem-solving skills with a track record of translating business goals into actionable technology roadmaps. • Cross-Functional Collaboration: Ability to partner with clinical, business, and technology leaders to deliver integrated, enterprise-wide solutions. Preferred Qualifications: • Advanced Education: Master's degree (MBA, MS in Engineering, IT or related field). • Cloud & DevOps Expertise: Experience with Azure, GCP, DevOps practices, and enterprise architecture frameworks. • Agile Delivery Leadership: Proficiency in agile methodologies and cross-functional program planning. • Segment CIO Experience: Prior leadership in large, complex, global segment technology strategy and execution, whether in healthcare or related highly regulated environments. • M&A Integration: Experience leading platform and team integration post-merger or acquisition. • Industry Engagement: Recognition or participation in healthcare IT forums, innovation councils, or thought leadership platforms. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $153k-222k yearly est. Auto-Apply 2d ago
  • Vice President Underwriting - Eden Prairie, MN, Irvine, CA or Remote

    Unitedhealth Group 4.6company rating

    Irvine, CA jobs

    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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Optimize financial performance through enhancements that balance pricing discipline and sales success with specific responsibility for OptumRx's Underwriting team leading external Health Plan pricing + Evolve segment-specific bid strategy and decision making in lockstep with transformation initiatives and external positioning through an in-depth understanding of OptumRx and health plan competitors, industry trends, market dynamics and internal key performance indicators + Interact with all levels of the organization; routinely with OptumRx Market Presidents to influence go to market strategies and goal setting. Regularly meet with OptumRx ELT leaders to drive goals, strategy, and build solid relationships + Delivering all pricing strategies and objectives within established deadlines through active collaboration and engagement with the Sales and Account Management leadership team; identify and prioritize key areas of focus + Drive strategic decision making that ultimately delivers on OptumRx revenue, margin, and retention targets established in Annual Business Plan; directly impact PBM, Specialty, and Home Delivery business segments + Provide exceptional team leadership with a focus on employee engagement, development, retention, and attracting top talent into the organization + Function as AI champion driving integration into tools and processes + Lead and manage a team to achieve high quality outcomes and improve process targets driven by KPIs + Develop capabilities to leverage market-driven insights that systematically turn intelligence into actionable recommendations and competitive practices + Empower colleagues and key partners with targeted support that delivers strategic viewpoints and advisement driven by insights from key stakeholders + Execute with agility by driving enterprise-wide "closed loop" collaboration that efficiently addresses market shifts 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:** + 8+ years of experience in financial pharmacy benefit management, working with the PBM pricing, underwriting or actuary + 5+ years of experience in a direct management role, leading and inspiring people at various levels within the organization + Client-facing experience, including negotiating and consulting with clients + Experience collaborating cross-functionally and communicating effectively and efficiently at multiple levels of large, complex organizations + Advanced skills in MS Excel, MS Office product suite + Demonstrated solid business and financial acumen, including solid financial analysis experience + Proven eagerness to drive AI integration + Ability to travel up to 25% **Preferred Qualifications:** + Experience working with Health Plan clients + Experience managing a P&L *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. **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. _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $156.4k-268k yearly 60d+ ago
  • Vice President, Life Sciences AI Solutions

    Unitedhealth Group 4.6company rating

    Eden Prairie, MN jobs

    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 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.** Optum.ai is seeking a Vice President to own revenue growth and end-to-end delivery of AI-powered technologies for Life Sciences, with an emphasis on clinical development and trial operations. You will build executive relationships, originate and close complex engagements, and lead cross-functional teams to design, implement, and scale AI technologies that improve operational efficiency, trial performance, and business value. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires within 30 minutes of an office in Minnesota or Washington, D.C., you'll be required to work a minimum of four days per week in-office. **Primary Responsibilities:** + **Own the book of business:** Build pipeline, shape GTM plays, and close seven- and eight-figure deals across pharma/biotech and CROs; meet and exceed annual revenue, margin, and NPS targets + **Be the trusted advisor:** Cultivate C-suite relationships; translate clinical and operational challenges (site selection, feasibility, recruitment/retention, monitoring, data flow) into pragmatic solutions leveraging Optum's product portfolio and AI capabilities + **Lead delivery & outcomes:** Direct multi-disciplinary teams (engineering, data science, product, engagement management) to deliver measurable improvements in trial timelines, quality, and cost; ensure smooth transition from sale to execution and scale + **Design solutions:** Architect engagements using Optum AI's platforms, Gen AI/LLMs, ML, and workflow automation; align with client data architectures and processes + **Governance & compliance:** Champion responsible AI (validation, bias, auditability) and regulated requirements (e.g., GxP, privacy/security) in partnership with clients + **Market sensing:** Feed client and market insights into product roadmaps; identify partnerships that accelerate value creation 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:** + 12+ years in life sciences technology, including 5+ years delivering complex solutions to pharma/biotech/CROs + Existing network of senior buyers in the pharma/biotech/CRO space + Deep understanding of clinical development and trial ops (feasibility, site selection, patient recruitment/retention, data pipelines, monitoring) + Proven leadership of cross-functional delivery teams and large programs with clear outcome metrics + Solid familiarity with modern AI/ML (including GenAI), data platforms, and cloud + Track record of translating technology into business impact + Executive presence, excellent storytelling, and commercial negotiation skills + Bachelor's degree required; advanced degree (MS/PhD/MPH/MBA) preferred + Willingness to travel as needed (~30-50%, will vary based on client portfolio) *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $196,600 to $337,100 annually based on full-time employment. We comply with all minimum wage laws as applicable. **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. _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $196.6k-337.1k yearly 13d ago
  • Vice President, Life Sciences AI Solutions

    Unitedhealth Group Inc. 4.6company rating

    Eden Prairie, MN jobs

    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 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. Optum.ai is seeking a Vice President to own revenue growth and end-to-end delivery of AI-powered technologies for Life Sciences, with an emphasis on clinical development and trial operations. You will build executive relationships, originate and close complex engagements, and lead cross-functional teams to design, implement, and scale AI technologies that improve operational efficiency, trial performance, and business value. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires within 30 minutes of an office in Minnesota or Washington, D.C., you'll be required to work a minimum of four days per week in-office. Primary Responsibilities: * Own the book of business: Build pipeline, shape GTM plays, and close seven- and eight-figure deals across pharma/biotech and CROs; meet and exceed annual revenue, margin, and NPS targets * Be the trusted advisor: Cultivate C-suite relationships; translate clinical and operational challenges (site selection, feasibility, recruitment/retention, monitoring, data flow) into pragmatic solutions leveraging Optum's product portfolio and AI capabilities * Lead delivery & outcomes: Direct multi-disciplinary teams (engineering, data science, product, engagement management) to deliver measurable improvements in trial timelines, quality, and cost; ensure smooth transition from sale to execution and scale * Design solutions: Architect engagements using Optum AI's platforms, Gen AI/LLMs, ML, and workflow automation; align with client data architectures and processes * Governance & compliance: Champion responsible AI (validation, bias, auditability) and regulated requirements (e.g., GxP, privacy/security) in partnership with clients * Market sensing: Feed client and market insights into product roadmaps; identify partnerships that accelerate value creation 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: * 12+ years in life sciences technology, including 5+ years delivering complex solutions to pharma/biotech/CROs * Existing network of senior buyers in the pharma/biotech/CRO space * Deep understanding of clinical development and trial ops (feasibility, site selection, patient recruitment/retention, data pipelines, monitoring) * Proven leadership of cross-functional delivery teams and large programs with clear outcome metrics * Solid familiarity with modern AI/ML (including GenAI), data platforms, and cloud * Track record of translating technology into business impact * Executive presence, excellent storytelling, and commercial negotiation skills * Bachelor's degree required; advanced degree (MS/PhD/MPH/MBA) preferred * Willingness to travel as needed (~30-50%, will vary based on client portfolio) * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $196,600 to $337,100 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $196.6k-337.1k yearly 7d ago
  • Vice President Underwriting - Eden Prairie, MN, Irvine, CA or Remote

    Unitedhealth Group Inc. 4.6company rating

    Eden Prairie, MN jobs

    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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Optimize financial performance through enhancements that balance pricing discipline and sales success with specific responsibility for OptumRx's Underwriting team leading external Health Plan pricing * Evolve segment-specific bid strategy and decision making in lockstep with transformation initiatives and external positioning through an in-depth understanding of OptumRx and health plan competitors, industry trends, market dynamics and internal key performance indicators * Interact with all levels of the organization; routinely with OptumRx Market Presidents to influence go to market strategies and goal setting. Regularly meet with OptumRx ELT leaders to drive goals, strategy, and build solid relationships * Delivering all pricing strategies and objectives within established deadlines through active collaboration and engagement with the Sales and Account Management leadership team; identify and prioritize key areas of focus * Drive strategic decision making that ultimately delivers on OptumRx revenue, margin, and retention targets established in Annual Business Plan; directly impact PBM, Specialty, and Home Delivery business segments * Provide exceptional team leadership with a focus on employee engagement, development, retention, and attracting top talent into the organization * Function as AI champion driving integration into tools and processes * Lead and manage a team to achieve high quality outcomes and improve process targets driven by KPIs * Develop capabilities to leverage market-driven insights that systematically turn intelligence into actionable recommendations and competitive practices * Empower colleagues and key partners with targeted support that delivers strategic viewpoints and advisement driven by insights from key stakeholders * Execute with agility by driving enterprise-wide "closed loop" collaboration that efficiently addresses market shifts 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: * 8+ years of experience in financial pharmacy benefit management, working with the PBM pricing, underwriting or actuary * 5+ years of experience in a direct management role, leading and inspiring people at various levels within the organization * Client-facing experience, including negotiating and consulting with clients * Experience collaborating cross-functionally and communicating effectively and efficiently at multiple levels of large, complex organizations * Advanced skills in MS Excel, MS Office product suite * Demonstrated solid business and financial acumen, including solid financial analysis experience * Proven eagerness to drive AI integration * Ability to travel up to 25% Preferred Qualifications: * Experience working with Health Plan clients * Experience managing a P&L * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    $156.4k-268k yearly 60d+ ago
  • Vice President Underwriting - Eden Prairie, MN, Irvine, CA or Remote

    Unitedhealth Group 4.6company rating

    Eden Prairie, MN jobs

    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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Optimize financial performance through enhancements that balance pricing discipline and sales success with specific responsibility for OptumRx's Underwriting team leading external Health Plan pricing + Evolve segment-specific bid strategy and decision making in lockstep with transformation initiatives and external positioning through an in-depth understanding of OptumRx and health plan competitors, industry trends, market dynamics and internal key performance indicators + Interact with all levels of the organization; routinely with OptumRx Market Presidents to influence go to market strategies and goal setting. Regularly meet with OptumRx ELT leaders to drive goals, strategy, and build solid relationships + Delivering all pricing strategies and objectives within established deadlines through active collaboration and engagement with the Sales and Account Management leadership team; identify and prioritize key areas of focus + Drive strategic decision making that ultimately delivers on OptumRx revenue, margin, and retention targets established in Annual Business Plan; directly impact PBM, Specialty, and Home Delivery business segments + Provide exceptional team leadership with a focus on employee engagement, development, retention, and attracting top talent into the organization + Function as AI champion driving integration into tools and processes + Lead and manage a team to achieve high quality outcomes and improve process targets driven by KPIs + Develop capabilities to leverage market-driven insights that systematically turn intelligence into actionable recommendations and competitive practices + Empower colleagues and key partners with targeted support that delivers strategic viewpoints and advisement driven by insights from key stakeholders + Execute with agility by driving enterprise-wide "closed loop" collaboration that efficiently addresses market shifts 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:** + 8+ years of experience in financial pharmacy benefit management, working with the PBM pricing, underwriting or actuary + 5+ years of experience in a direct management role, leading and inspiring people at various levels within the organization + Client-facing experience, including negotiating and consulting with clients + Experience collaborating cross-functionally and communicating effectively and efficiently at multiple levels of large, complex organizations + Advanced skills in MS Excel, MS Office product suite + Demonstrated solid business and financial acumen, including solid financial analysis experience + Proven eagerness to drive AI integration + Ability to travel up to 25% **Preferred Qualifications:** + Experience working with Health Plan clients + Experience managing a P&L *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. **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. _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $156.4k-268k yearly 60d+ ago
  • Senior Corporate Director of Pharmacy - Remote

    Unitedhealth Group 4.6company rating

    Dublin, OH jobs

    **Explore opportunities with CPS,** part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a **Senior Corporate Director of Pharmacy** with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be responsible for all aspects of operations, including assisting in recruitment and hiring of personnel; evaluating that all legal, accreditation, and certification requirements are being met; ensuring provision of optimal services; and working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy. In addition, you will be expected to work independently and handle challenges appropriately, work cooperatively with other members of Comprehensive Pharmacy Services, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 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:** + B.S. or PharmD from an ACPE-accredited School of Pharmacy + Obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states + 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience + Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size + Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems + Ability to pass company Motor Vehicle (MVR) background check + Ability to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed + Ability to travel at 24 hour notice **Hospital Requirements: (may be required):** + (PPD) TB Skin Test - Proof of negative TB skin test within the last 12 months + (MMR) Measles, Mumps and Rubella or A Blood Titer proving immunity + Varicella - (2) documented doses or A Blood Titer proving + Hep B3 Series (or declination) + (Flu) Influenza-required for hire between Oct 1st-April 30th + COVID Vaccine-Full (required) *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. **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. _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $110.2k-188.8k yearly 60d+ ago
  • Per Diem Senior Corporate Director of Pharmacy - Remote

    Unitedhealth Group Inc. 4.6company rating

    Dublin, OH jobs

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. As a per diem Senior Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be responsible for all aspects of operations, including assisting in recruitment and hiring of personnel; evaluating that all legal, accreditation, and certification requirements are being met; ensuring provision of optimal services; and working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy. In addition, you will be expected to work independently and handle challenges appropriately, work cooperatively with other members of Comprehensive Pharmacy Services, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 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: * B.S. or PharmD from an ACPE-accredited School of Pharmacy * Obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states * 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience * Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size * Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems * Ability to pass company Motor Vehicle (MVR) background check * Ability to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed * Ability to travel on a 24 hour notice Hospital Requirements: (may be required): * (PPD) TB Skin Test - Proof of negative TB skin test within the last 12 months * (MMR) Measles, Mumps and Rubella or A Blood Titer proving immunity * Varicella - (2) documented doses or A Blood Titer proving * Hep B3 Series (or declination) * (Flu) Influenza-required for hire between Oct 1st-April 30th * COVID Vaccine-Full (required) * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $53-90.8 hourly 60d+ ago
  • Senior Corporate Director of Pharmacy - Remote

    Unitedhealth Group Inc. 4.6company rating

    Dublin, OH jobs

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. As a Senior Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be responsible for all aspects of operations, including assisting in recruitment and hiring of personnel; evaluating that all legal, accreditation, and certification requirements are being met; ensuring provision of optimal services; and working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy. In addition, you will be expected to work independently and handle challenges appropriately, work cooperatively with other members of Comprehensive Pharmacy Services, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 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: * B.S. or PharmD from an ACPE-accredited School of Pharmacy * Obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states * 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience * Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size * Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems * Ability to pass company Motor Vehicle (MVR) background check * Ability to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed * Ability to travel at 24 hour notice Hospital Requirements: (may be required): * (PPD) TB Skin Test - Proof of negative TB skin test within the last 12 months * (MMR) Measles, Mumps and Rubella or A Blood Titer proving immunity * Varicella - (2) documented doses or A Blood Titer proving * Hep B3 Series (or declination) * (Flu) Influenza-required for hire between Oct 1st-April 30th * COVID Vaccine-Full (required) * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    $110.2k-188.8k yearly 60d+ ago
  • Per Diem Senior Corporate Director of Pharmacy - Remote

    Unitedhealth Group 4.6company rating

    Dublin, OH jobs

    **Explore opportunities with CPS,** part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a **per diem Senior Corporate Director of Pharmacy** with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be responsible for all aspects of operations, including assisting in recruitment and hiring of personnel; evaluating that all legal, accreditation, and certification requirements are being met; ensuring provision of optimal services; and working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy. In addition, you will be expected to work independently and handle challenges appropriately, work cooperatively with other members of Comprehensive Pharmacy Services, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 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:** + B.S. or PharmD from an ACPE-accredited School of Pharmacy + Obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states + 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience + Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size + Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems + Ability to pass company Motor Vehicle (MVR) background check + Ability to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed + Ability to travel on a 24 hour notice **Hospital Requirements: (may be required):** + (PPD) TB Skin Test - Proof of negative TB skin test within the last 12 months + (MMR) Measles, Mumps and Rubella or A Blood Titer proving immunity + Varicella - (2) documented doses or A Blood Titer proving + Hep B3 Series (or declination) + (Flu) Influenza-required for hire between Oct 1st-April 30th + COVID Vaccine-Full (required) *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. **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. _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $53-90.8 hourly 60d+ ago
  • Senior Corporate Director of Pharmacy

    Unitedhealth Group 4.6company rating

    Portland, OR jobs

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a per diem, nonexempt Senior Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be expected to work independently and handle challenges appropriately, work cooperatively with other members of CPS Solutions/Optum, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + All aspects of operations, including assisting in recruitment and hiring of personnel + Evaluating that all legal, accreditation, and certification requirements are being met + Ensuring provision of optimal services + Working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy 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:** + B.S. or PharmD from an ACPE-accredited School of Pharmacy + Active Pharmacist license in good standing + 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience + Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size + Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems + Proven to obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states + Proven ability to pass company Motor Vehicle (MVR) background check + Must be able to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed + Ability to travel on a 24 hour notice + Residence in Western U.S. near an international airport *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $53-90.8 hourly 36d ago
  • Senior Corporate Director of Pharmacy

    Unitedhealth Group 4.6company rating

    Seattle, WA jobs

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a per diem, nonexempt Senior Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be expected to work independently and handle challenges appropriately, work cooperatively with other members of CPS Solutions/Optum, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + All aspects of operations, including assisting in recruitment and hiring of personnel + Evaluating that all legal, accreditation, and certification requirements are being met + Ensuring provision of optimal services + Working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy 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:** + B.S. or PharmD from an ACPE-accredited School of Pharmacy + Active Pharmacist license in good standing + 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience + Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size + Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems + Proven to obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states + Proven ability to pass company Motor Vehicle (MVR) background check + Must be able to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed + Ability to travel on a 24 hour notice + Residence in Western U.S. near an international airport *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $53-90.8 hourly 36d ago
  • Associate Director, Quality Field Operations

    Unitedhealth Group Inc. 4.6company rating

    Maryland Heights, MO jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This Director level is accountable for achieving assigned targets for Medicare Advantage providers in their assigned Market(s). The Director is responsible for developing and deploying business plans at the market level with a solid focus on managing CMS Risk Adjustment, Clinical Quality, HEDIS and Stars initiatives and building relationships across Market(s) to develop and optimize business opportunities and brand strength. Serving as the local Market expert, work with central function leads to target local strategies that will result in optimal Market(s) effectiveness. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Ensure targets are met or exceeded for assigned Market(s) * Development and execution of clinical, RAF and quality strategy related HEDIS and Part D Stars Improvements in partnership with Medicare Market CEO, Executive Director, Data Support, and other Optum and UHC parties as appropriate * Regular reporting and updates to senior leadership, including Health Plan CEO, CMO, and market leads, this requires development of PowerPoint and Excel data packages * Leadership and support of achieving a minimum of 4 Star rating for assigned H contracts and for achieving 80% of our members in 4 Star or better plans * Solid focus on employee development and employee experience * Monitor Market level trends, risk and opportunities to continually evaluate ability to achieve established targets * Create provider targets for direct reports and assist in territory management penetration * Actively participate in the development and execution of site Coding Accuracy, HEDIS, (prospective and retrospective), Patient Experience and Stars strategic/business plans * Influence the development and improvement of operations/service processes * Drive the development and implementation of short-and-long range plans * Continually assess market competitiveness, opportunities, and risks * Drive initiatives to optimize Medicare Advantage payment and reimbursement strategy and capabilities * Build and maintain collaborative relationships with Corporate, Business units within UHG and other Medicare Advantage Plans, Provider relations/Network Development, Marketing and Sales, Clinical Operations, Senior Director leadership in each market * The Director will be accountable to ensure direct reports that oversee the field staff are performing at a high standard of performance * Be the primary go to person for all Risk/STARS related activities within their assigned market(s) working within a matrix relationship which includes Network, Market Leads, Health Plan Medical Directors, and other Health Plan and Optum team members to assure that all STARS activities are planned and executed * Weekly commitment of 50% travel for business meetings (including client/health plan partners and provider meetings) and 50% remote work 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 a high impact role as a leader in the managed health care industry * 5+ years of Medicare Stars experience and HEDIS experience * Experience in the development and execution of Coding Accuracy, HEDIS (prospective and retrospective), Patient Experience and Stars strategic/business plans * Experience developing and improving operations / service processes including short and long range plans * Demonstrated experience on driving initiatives to optimize Medicare Advantage payment and reimbursement strategy and capabilities * A broad base of experience across management care operations, extensive knowledge of health care industry, provider and insurance industry is required to be successful in this role * Weekly commitment of 50% travel for business meetings (including client/health plan partners and provider meetings) and 50% remote work Preferred Qualifications: * Reside in the upper Midwest (Missouri / Nebraska / Iowa / Illinois ) * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $110.2k-188.8k yearly 2d ago
  • Senior Corporate Director of Pharmacy

    Unitedhealth Group 4.6company rating

    Los Angeles, CA jobs

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a per diem, nonexempt Senior Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be expected to work independently and handle challenges appropriately, work cooperatively with other members of CPS Solutions/Optum, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + All aspects of operations, including assisting in recruitment and hiring of personnel + Evaluating that all legal, accreditation, and certification requirements are being met + Ensuring provision of optimal services + Working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy 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:** + B.S. or PharmD from an ACPE-accredited School of Pharmacy + Active Pharmacist license in good standing + 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience + Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size + Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems + Proven to obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states + Proven ability to pass company Motor Vehicle (MVR) background check + Must be able to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed + Ability to travel on a 24 hour notice + Residence in Western U.S. near an international airport *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $53-90.8 hourly 36d ago

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