Associate Director, Provider Network Contracting - Southern California
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 equitable. 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. The position is based in Cypress, CA and is not a remote/telecommute role. Are you ready to put your skills to the test? In this high-impact role, you will need to be a strong leader and have the proven ability to establish trust and build relationships with leaders and experts across an organization. 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.
Requirements
- 5+ years of supervisory level experience in a network management-related role handling complex network providers with accountability for business results
- 5+ years of experience with provider contracting
- 2+ years of experience developing product pricing and utilizing financial modeling in making rate decisions
- 2+ 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.
- Driver's License and access to a reliable transportation
Responsibilities
- Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
- Develop functional, market level and/or site strategy, plans, production and/or organizational priorities
- Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency
- Identify and resolve technical, operational and organizational problems
- Direct work that impacts entire functions and/or customer accounts (internal or external)
Benefits
- 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).
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
