Associate Director of Network Contracting – Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

 

The Associate Director of Network Contracting is accountable for securing optimal compensation and contractual terms for the provider network, which includes physicians, behavioral health therapists, nurse practitioners, hospitals, pharmacies, ancillary, etc. The role involves analyzing, evaluating, and negotiating contracts in the pursuit of maximizing provider reimbursement while ensuring strategic and mutually beneficial payor partnerships. In partnership with Senior Leadership, the Associate Director of Network Contracting is a subject-matter expert on payor contracting and fee schedules as well as payor and provider relations. 

 

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

 

Primary Responsibilities: 

• Direct and participate in contract negotiations, performance reporting and associated financial modeling for payor contracting in your assigned region
• Evaluate and negotiate the renewal of contracts with commercial and government payors in compliance with reimbursement structure standards and other key process controls
• Evaluate and pursue opportunities for value-based care arrangements
• Monitor contract performance for your assigned region and assist clinics with the resolution of contract- related issues
• Function as the point of contact with regional payors, maintaining and growing strategic relationships that support the payor-provider partnership

 

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: 

• 3+ years of healthcare experience in payor strategy, contracting and network development-related role managing complex contracts with accountability for business results.
• 2+ years of experience with utilizing financial modeling in making rate decisions. 
• Experience with Microsoft Office Applications 
• Working knowledge of value-based care models and reimbursement strategy
• In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
• Proven solid analytical skills, business acumen, and ability to think both strategically and tactically.
• Proven excellent interpersonal and communication skills

 

Preferred Qualifications:

• Experience with Epic and/or Athena platforms 
• Experience with Microsoft Office 365 and Smartsheet

 

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

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $xx,xxx to $xx,xxx annually based on full-time employment. We comply with all minimum wage laws as applicable.

 

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.   

 

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.