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.
The Network Program Manager is a budgeted new position that is responsible for supporting the strategy, development, implementation and management of UMR’s OON (including No-Surprises-Act) and Payment Integrity solutions. These solutions are critical to control customer/member costs
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Subject matter expert on UMR’s OON, including No Surprises Act (NSA), and Payment Integrity strategy and solutions
Supports the growth of our OON and Payment Integrity solutions (RFP strategy, new strategy implementation, etc.)
Meets with customers, brokers/consultants, and internal stakeholders to discuss complex situations, develop solutions and determine when deviations from standards are necessary
Identifies and anticipates OON and Payment Integrity market trends and develops solutions to address
Coordinates with internal partners (UW, Operations, Finance, Billing, etc.) to implement new and manage existing OON and Payment Integrity solutions. Leads projects to improve performance
Manages existing and evaluates new vendors for our OON and Payment Integrity solutions
Develops and manages internal training materials and workflows as well as marketing material
Supports the forecasting and budgeting of savings/revenue/expenses for OON and Payment Integrity
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:
5+ years of experience in healthcare industry
2+ years of experience in leadership role within the healthcare industry
Experience in a customer facing role
Experience with managing vendors/internal partners
Experience using data analysis to identify trends
Preferred Qualifications:
Experience with Power BI and Excel
Experience with out of network and payment integrity
Proven ability to lead a team, provide management and coaching, and interact with senior executives and customers on strategy, custom requests, pricing, operations, and solution performance
Ability to develop, implement and manage programs in a strategic and professional manner
Ability to communicate effectively and efficiently internally and externally
Ability to develop and maintain strong business relationships
Solid organizational and analytical skills
*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 $89,900 to $160,600 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.
UnitedHealth Group
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