Network Program Manager – Draper, Utah

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 Network Program Manager  will leverage their expertise in provider networks to drive the next phase of evolution in how provider networks are composed and compensated. This role requires a blend of analytical skills, strategic thinking, and relationship management to ensure clinical providers successful within the Medicare Advantage/Risk Adjustment Model. The successful candidate will thrive in a fast-paced, performance-focused environment, managing a portfolio of projects and ensuring high levels of group engagement. 

 

Primary Responsibilities: 

• Build and maintain strong relationships with provider groups to foster collaboration and trust
• Strategize and guide priorities for provider groups to ensure successful performance and alignment with organizational goals
• Analyze data to identify areas for improvement and develop actionable strategies
• Collaborate with cross-functional teams to ensure the right stakeholders are involved in discussions and decision-making processes
• Monitor and ensure provider groups meet contract standards across various performance metrics
• Provide regular performance reports and updates to provider groups and senior management
• Participate in the development of business strategy
• Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness
• Solve unique and complex problems with broad impact on the business

 

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: 

• 2+ years of experience working with a managed care organization or health insurer, or as a consultant in a network/contract management role (e.g., contracting, provider services)
• 2+ years of project management or project lead experience
• 2+ years of experience in data analysis, with the ability to interpret complex data sets
• Proven experience delivering engaging and impactful presentations to large audiences, including senior leadership, medical directors, and C-suite executives
• Sales experience, with the ability to effectively «sell» and gain buy-in from provider groups, particularly in the context of evolving incentive contracts. This includes the ability to clearly articulate the benefits and value propositions of new contract terms and motivate provider groups to adopt changes
• Expertise in physician, facility, and ancillary contract reimbursement methodologies
• Proven solid analytical and problem-solving skills
• Proven excellent communication and interpersonal skills

 

Preferred Qualifications:

• Certification in project management (e.g., PMP)
• Experience with healthcare data analytics tools and platforms
• Experience with Medicare Advantage and Risk Adjustment
• Proficiency in using data analysis tools and software
• Proven solid presentation and public speaking skills, with the ability to convey complex information clearly and effectively
• Demonstrated ability to handle difficult conversations while maintaining positive relationships

  

The salary range for this role is $89,800 to $176,700 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.

 

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