Director, Network Management - Remote

UnitedHealth Group•Salt Lake City, UT

3d•Remote

About The Position

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Director of Network Management leads the design, implementation, and oversight of clinically integrated provider networks to ensure program success, regulatory compliance, and effective product delivery. This role is a strategic, market-facing leadership role responsible for advancing value-based care (VBC) performance across contracted primary care provider (PCP) networks supporting UnitedHealthcare (UHC) Medicare Advantage members in Colorado, Idaho, and Utah. This role is accountable for driving performance in risk adjustment, CMS Star Ratings, and total cost of care. The Director will lead a matrixed team of Network Managers and leaders, and partner closely with network providers, Medical Directors, and other cross-functional teams to develop and execute strategies that improve provider performance and member outcomes. If you are located in Salt Lake City, UT, Denver, CO, or Boise, ID you will have the flexibility to work remotely as you take on some tough challenges. 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

2+ years of experience working with a managed care organization, health insurer, or consultant in network management / contract management role, such as contracting, provider services, etc.
2+ years of experience in data analysis
2+ years of management experience
Proven experience working with provider incentive programs
Proven experience and ability with relationship building and maintenance including ability to motivate others to achieve difficult goals
Ability to convey complex or technical information in a manner that others can understand
Excellent communication skills, including ability to communicate effectively with various levels of leadership
Advanced proficiency in MS Office

Nice To Haves

Proficiency with all facility/ancillary contract reimbursement methodologies
Project management or project lead experience or proven ability to follow and execute on assigned projects
Experience working with primary care networks in value-based arrangements
Experience with financial performance metrics including MLR and total cost of care

Responsibilities

Develop functional, market level, and/or site strategy, plans, production and/or organizational priorities
Ability to work closely with our dyad physician partner to direct the strategy and execution of initiatives
Develop and execute strategies that span a large business unit or multiple markets/sites
Direct cross-functional and/or cross-segment teams to develop enterprise-wide Clinically Integrated Networks focused on specific clinical areas/service lines such as oncology or cardiology
Identify market-specific opportunities and risks, and translate them into actionable strategies and execution plans
Oversee network analysis and strategy development and implementation including performance outcomes tied to provider incentive programs
Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness
Ensure teams are obtaining, validating and analyzing data impacting network availability and access