Director Provider Network Management – Remote

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, Provider Network Management will report directly to the VP, Operations and oversee teams including the Contracted Network, Network Adequacy, and Contracted Provider Relations / Provider Advocate Contact Center having accountability for the development of the provider network (physicians, hospitals, ancillary groups and facilities, etc.) across multiple programs. The position has oversight of contract development and negotiations and will drive overall team strategy. This leader is responsible for ensuring adherence to contract requirements and meeting program specific KPIs.  Solid interpersonal relationship and communication skills required as this position will interact daily with both external and internal partners at all levels of the organization.

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

Primary Responsibilities:

• Drive potential provider partner outreach and manage provider partnership process from development of the pipeline through the contracting process
• Responsible for the development of provider contracting strategies and business planning
• Proactively initiate and drive change in processes, tools and capabilities that increase operational efficiency and effectiveness while concurrently improving the consumer experience
• Develop and implement strategies to increase provider satisfaction and retention
• Completes detailed analysis of various reports by tracking and trending data to develop a strategic plan to ensure performance goals are achieved 
• Ensure frequent and accurate executive reporting on Network Adequacy to multiple program executives
• Develop functional strategy, plans, production and/or organizational priorities
• Act as liaison between Provider Contracting department and other internal departments to resolve issues and answer questions related to provider contracts
• Solves unique and complex problems with broad impact on the business
• Leads large, complex projects to achieve key business objectives
• Demonstrate ability to work in a complex, rapidly paced environment
• Ensure compliance with all training and implementation of policies, procedures, goals, and objectives for each program
• Establish and/or implement internal and/or external service level agreements to ensure ability to monitor and measure program performance (e.g., turnaround time; quality; effectiveness) 
• Directs cross-functional and/or cross-segment teams

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 job related experience with network data management, provider contracting or provider relations in a managed care environment. 3+ of which are in the health care industry
• 5+ years of  management/supervisory experience
• Understanding and accountability of business results
• Solid documentation skills 
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
• Solid interpersonal skills, establishing rapport and working well with others 
• Solid leadership skills with the ability to prioritize and delegate effectively
• Demonstrated ability to work collaboratively with cross functional team members and with a sense of urgency
• Possess excellent organizational and follow up skills, with a strong attention to detail
• Possess and demonstrate skills necessary to analyze data and information
• Demonstrate a high standard of business ethics and integrity
• Willingness and ability to travel up to 25%

Preferred Qualifications: 

• Experience in implementing new provider networks
• Experience working with Government contracts and Veterans  
• Experience in reading and understanding new business proposals
• Vendor Oversight or Account Management experience

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

California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $122,100 to $234,700 annually. 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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.