The time has come to raise your game and help us raise ours. You've learned to lead. You've built a deep expertise in health care network operations. You've set your sights on having more impact in more ways. Now it's time to join our leadership team and help UnitedHealth Group meet the challenge of shaping where health care will go. As an Associate Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 6 leader.
Are you ready to put your skills to the test? In this high-impact role, you will lead the development of geographically competitive, broad-access, stable provider networks that support unit cost, trend management, and business performance objectives. You will develop market-level and functional strategies, apply network configuration and incentive-based payment models, and resolve technical, operational, and organizational issues that affect network performance. This role also serves as the primary contact for facility and ancillary providers during Community & State expansion, leading key Network Management operational components. In addition, you will provide governance to ensure market-level oversight and execution across stability, compliance, systems, access, and Community & State readiness, while leading Government Operations expansion execution for Government lines of business to ensure regulatory readiness and performance. You will establish solid provider relationships, direct work that impacts core functions and customer accounts, and lead and develop a network contracting team. Employees in jobs labeled with 'SCA' must support a government Service Contract Act (SCA) agreement.
If you are located in the South East Region of the US, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities: - Lead the development of geographically competitive, broad-access, stable networks that achieve unit cost and trend management objectives
- Develop market-level and functional strategies, plans, and priorities to support business objectives
- Apply network configuration and incentive-based payment models to improve quality, efficiency, and performance
- Identify and resolve technical, operational, and organizational issues that affect network performance
- Direct work that impacts core functions and internal or external customer accounts
- Lead and develop a network contracting team
- Serve as the primary contact for facility and ancillary providers during Community & State expansion and lead key Network Management operational components, including chargemaster, payment appendices, and system troubleshooting, enabling contractors to focus on negotiations
- Provide governance to ensure market-level oversight and execution across stability, compliance, systems, access, and Community & State readiness
- Lead Government Operations expansion execution for Government lines of business, including Community & State, ensuring regulatory readiness and performance
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 with provider contracting
- 3+ years of supervisory level experience in a network management-related role handling complex network providers with accountability for business results
- 3+ years of experience developing product pricing and utilizing financial modeling in making rate decisions
- 3+ years of experience managing a medical cost and administrative budget
- Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
*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 $112,700 to $193,200 annually 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.
