Job Description

The Network Program Manager is responsible for the successful program design, compliance with network requirements, network assessment and selection, and program/product implementation. This includes enterprise-wide Clinically Integrated Network teams that focus on specific clinical area Lines of Service Behavioral Health (Mental Health and Substance Abuse) to improve the quality and affordability through improvements in appropriateness and effectiveness. Network Program Managers may perform network analysis and strategy development and implementation; obtain data, verify validity of data, and analyze data as required, and analyze network availability and access. Other responsibilities may also include making recommendations regarding use, expansion, selection of networks for various products based on that analysis. Network development is the training of Network Providers to train on process and treatment philosophies. The network program manager will be working closely working with the behavioral health provider relations team, the recovery and resiliency team, the Medicaid program manager and clinical field workers.

Primary Responsibilities:

* Training and educating Medicaid Provider Network, focusing on behavioral health
* Development of training and educational materials
* Facilitate, manage and present large trainings (auditorium, WebEx and/or other platforms)
* Predict emerging customer needs and develop innovative solutions to meet them
* Solve unique and complex problems with broad impact on the business.
* Participate in the development of business strategy
* Develop and manage business plans to achieve objectives
* Lead large, complex projects to achieve key business objectives
* Translate highly complex concepts in ways that can be understood by a variety of audiences
* Influence senior leadership to adopt new ideas, products, and/or approaches.
* May have segment - wide impact
* Direct cross - functional and/or cross-segment teams
* Collaborates with Behavioral Health Provider Relations Department and claims reciliation staff to include provider networking, training, contracts, negotiations, outreach, strategies, etc.
* This position directly reports to the Executive Director of Behavioral Healthcare Options...the behavioral health department within Health Plan of Nevada
* 50% - 75% travel required locally

Daily Practices:

* Excellent verbal and written communication skills (ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others)
* Excellent communication skills, including ability to communicate effectively with various levels of leadership

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:

* Master's Degree, clinically licensed in the state of Nevada in field of Behavioral Health (i.e. LCSW, LMFT, RN with behavioral health experience, etc.)
* 2 years' experience with Provider Relations and Network
* 2 years' experience with Provider Education and Training
* 1-year experience working with a managed care organization, health insurer, or consultant in a network management / contract management role, such as contracting, provider services, etc.
* Intermediate level of proficiency with all physician / facility
* Advanced experience developing PowerPoint presentations and intermediate level of proficiency in MS Office (Excel and PowerPoint)
* Must live within commutable distance of the location listed for this specific career opportunity
* You will be asked to perform this role in an office setting or other company location, however, may be required to work from home temporarily due to space limitations.
* Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.

Preferred Requirements:

* Project management or project lead experience
* Behavioral Health Experience
* Intermediate level of proficiency with all ancillary contract reimbursement methodologies

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

Some of the steps we've taken to ensure employee well-being include:

* Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID-19
* Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time
* Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices
* Fully cover the COVID-19 healthcare costs for our employees
* Employees who self-identify as high risk or who live with someone who is high risk have been asked to remain working from home

You can learn more about all we are doing to fight COVID-19 and support impacted communities at: click here.

What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our COVID-19 Resources Page: click here.

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.

Job Keywords: Las Vegas, NV, Nevada, Clinical Degree, LCPC, LCSW, MFT, Administration, Behavioral Health, PowerPoint Presentations, Health Plan of Nevada, Provider Education and Training, Provider Relations and Network., hiring immediately