Associate Director, Network Contracting - Alabama and Georgia Markets

UnitedHealth Group•Atlanta, GA

23h•$112,700 - $193,200•Remote

About The Position

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 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.

Requirements

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

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