Director, Network Programs, UHC Community and State – Remote

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.  

 

This role within UHC Community & State (C&S) will report within the health plan and be responsible for the coordination and leading of network priorities and initiatives within Medicaid and Dual Special Needs plans. Responsible for advocacy with DHHS and State provider associates, network initiatives and program as well as identification and execution of innovative payment models with shared partners, providers, and state partner. 

 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

 

Primary Responsibilities:

• Dedicated point of contact for any and all provider issues and questions
• Focus on non-par conversions to par to ensure appropriate network to meet increasing C&S membership
• Provider & LTSS support
• Support for provider relations management with key provider organizations including but not limited to:
  • NC Medical Society
  • NC Academy of Family Practices
  • NC Pediatrics
  • NC Association of Health Plans
  • NC Hospital Association
• Explore and accelerate VBC and NC’s required innovative payments models, including ancillary providers
• Support and promote use of digital capabilities, API and advanced technologies to reduce provider administrative burden

 

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: 

• 7+ years of experience with provider contract negotiations
• 7+ years of experience with innovative payment models, ie risk, shared risk, Making Care Primary, ACOs
• 7+ years of experience leading strategic provider relationships with CINs, ACOs, hospitals

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 

  

The salary range for this role is $124,500 to $239,400 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.   

 

 

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.