UnitedHealth Group

Associate Director of Network Programs - Remote PST

UnitedHealth Group$112K — $193K *
US-AnywhereRemote in San Diego, CA
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 4+ years of provider relations experience
  • 3+ years of experience with Medicare and Medicaid regulations
  • Comfortable with executive-level presentations
  • Demonstrated experience in customer relationship management
  • Intermediate knowledge of claims processing
  • Demonstrated proficiency in MS Word, PowerPoint, Excel, and Access
  • Ability to travel up to 50%

Responsibilities

  • Lead development and oversight of strategic network initiatives
  • Analyze provider network performance and identify improvement opportunities
  • Collaborate with teams to execute customer-specific network strategies
  • Ensure operational readiness and compliance on client-specific mandates
  • Direct cross-functional projects including value-based care and network transformation
  • Analyze market data to inform leadership decisions
  • Support executive leadership through program governance and reporting
  • Provide mentorship to network program staff and project teams

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase options
  • 401k contributions
  • Remote work arrangements subject to policy compliance
Full Job Description


Primary Responsibilities:

  • Lead the development, implementation, and oversight of strategic network initiatives and programs that support customer business objectives
  • Analyze provider network performance through analysis of access, adequacy, utilization, quality, financial performance, and operational metrics and identify opportunities for process improvement, efficiency, and provider experience enhancement
  • Collaborate with provider contracting, provider relations, operations, regulatory, clinical, and market leadership teams to execute customer specific network strategies
  • Lead implementation on client-specific network mandates, ensuring operational readiness and compliance. Includes working directly with clients
  • Direct cross-functional projects, including benefit expansions, value-based care initiatives, reimbursement programs, and network transformation efforts
  • Analyze market trends, network performance data, and provider feedback to inform leadership decisions specific to customer performance
  • Support executive leadership through reporting, program governance, issue resolution, and communication of key network initiatives
  • Provide leadership, coaching, and mentorship to network program staff and project teams when applicable


Tactical Responsibilities:

  • West Region Direct Payer Network Point of Contact
  • Project Manage Provider Bulletins that impact provider networks
  • Ensure client specific Network Reporting set up and maintenance
  • Support benefit expansion initiatives
  • Support network quality improvement initiatives
  • Monitor performance guarantees
  • Monitor emerging trends coming from provider-facing teams. Implement corrective action plans
  • Regulatory and Customer audit - provider network deliverables
  • Client QBR participant
  • Oversee trade org relationships


You9ll 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:

  • 4+ years of provider relations experience
  • 3+ years of experience with Medicare and Medicaid regulations
  • Comfortable with Executive Level Presentations
  • Demonstrated experience in customer relationship management
  • Ability to call on Providers
  • Intermediate level of knowledge of claims processing
  • Demonstrated proficiency in MS Word, PowerPoint, Excel, and Access
  • Demonstrated exceptional presentation, written and verbal communication skills
  • Dedicated, distraction-free workspace and access to high speed internet in home
  • Ability to travel up to 50%
  • Driver9s license and access to reliable transportation


Preferred Qualifications:

  • 5+ years of supervisory level experience in a network management-related role handling complex network providers with accountability for business results


*All employees working remotely will be required to adhere to UnitedHealth Group9s 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, you9ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 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.

About UnitedHealth Group

UnitedHealth Group is a medical facility. They offer health technology, health finance, and pharmacy services. They are utilizing clinical data and intelligence to assist in the redesign, automation, and deployment of technology to streamline administrative operations and clinical decision-making. Payment systems for both consumers and providers are critical components of a health-care system.

UnitedHealth Group Careers

Joining UnitedHealth Group means becoming part of a diverse team dedicated to making a difference. As a leader in health services and innovation, our company offers a variety of job opportunities that allow professionals to leverage their skills, drive innovation, and improve lives. Work You’ll Do At UnitedHealth Group, you’ll contribute to a mission-focused environment where your expertise will influence the health and well-being of people worldwide. Our employment opportunities span across a wide range of disciplines, from healthcare specialists to data analysts, ensuring that your career journey is both dynamic and rewarding. Transform Healthcare with Your Expertise UnitedHealth Group stands at the forefront of health innovation. Our team collaborates to deliver solutions that lead to better patient outcomes. Working with us, you’ll find yourself at the intersection of technology, healthcare, and leadership, providing key insights that drive industry transformation. Join Our Global Team As part of our team, you’ll engage with over 300,000 professionals globally, dedicated to building a diverse and inclusive workplace. UnitedHealth Group is not just a company; it’s a community where you can grow your career through continuous learning and leadership opportunities. Our commitment to diversity training ensures that every team member can thrive. UnitedHealth Group Career Development We are committed to your professional growth. Explore career paths filled with promising job opportunities and internships that will harness your potential and expand your capabilities. Whether you’re a seasoned professional or a recent graduate, you’ll find that our career development programs support your ambition at every level. Innovative Work Environment At UnitedHealth Group, innovation is at the core of our operations. We encourage our team to bring forward-thinking ideas that challenge the status quo and lead to breakthrough improvements in patient care. Be Part of a Great Team Our culture fosters a collaborative and supportive environment where every member’s contribution is valued. Enjoy the benefits of being part of a global team that’s committed to making a difference in people’s lives. Future-Proof Your Career With UnitedHealth Group, your career is future-proof. Dive into a range of positions that offer both challenges and rewards. Our robust support system includes unmatched training, development programs, and certification support to propel your career forward. Stay Connected Join Our Team Discover the right position that matches your skills and interests. We are always hiring and look for passionate, curious, and solution-driven team players. Search UnitedHealth Group jobs today and take the first step towards a fulfilling career. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can use today—all from the people who work here. Read Careers Blog Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UnitedHealth Group.
Learn more about UnitedHealth Group
Size
350,000 employees
Market Cap
$493.1 billion
Industry
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ

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