Job Description

You've been building towards this. We've been building towards you. The healthcare system needs are evolving at a fast clip and innovators like UnitedHealth Group are playing a lead role. New models of care and new networks of providers are emerging now to better serve patients and communities. Here's where you come in. 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 7 leader.

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)

This challenging, high-profile role will put your skills and experience to the test daily. You'll be charged with leading the efforts to achieve synergy targets through contracting with our network providers. In addition, you will lead the high-performing team that supports the UnitedHealthcare client relationship for network/provider management.

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:

* Bachelor's degree or equivalent experience
* 10+ years of management experience in a network management-related role handling complex network providers with accountability for business results
* 8+ years of experience in development of product pricing and utilizing financial modeling in making rate decisions
* 5+ years of experience developing and managing a medical cost and administrative budget
* 5+ years of experience with provider contracting
* Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), Diagnosis Related Groups, Ambulatory Surgery Center Groupers, etc.
* You will be asked to perform this role in an office setting or other company location.
* 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.

Creating and fine-tuning provider networks helps improve access to healthcare for millions. It's an outstanding opportunity to have more meaning and purpose in your career. Join us. Find out how you can start doing your life's best work.(sm)

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: New York, NY, Iselin, NJ, 909706