Job Description
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
It's time for us to talk because at UnitedHealth Group, there's never better time to lead. Health care is changing and evolving at a pace that few could have predicted. Technology, ideas and bold vision are taking companies like UnitedHealth Group to new levels of performance. They can help you bring your impact to a whole new level. As a 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 4 leader.
If you resides in the GA, SC, NC states, you will have the flexibility to work remotely as you take on some tough challenges.
Primary Responsibilities:
- Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
- Develop and execute strategies for a function or discipline that span a large business unit or multiple markets/sites
- Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency
- Direct others to resolve business problems that affect multiple functions or disciplines
- Direct work that impacts entire functions and/or customer accounts (internal or external)
In this influential, high-impact role, the emphasis will be on setting strategy and working across a matrixed organization to achieve desired results. The environment is fast paced and demanding, so you will be changing priorities often and reacting to the needs of the marketplace.
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 management experience in a network management-related role handling complex network providers with accountability for business results
- 5+ years of experience developing product pricing and utilizing financial modeling in making rate decisions
- 5+ years of experience with provider contracting
- 3+ years of experience developing and managing a medical cost and administrative budget
- Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), Diagnosis Related Groups, Ambulatory Surgery Center Groups, etc.
All employees working remotely will be required to adhere to UnitedHealth Group s Telecommuter Policy
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.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
