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 more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This specialist role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We’re driving ever higher levels of sophistication in how provider networks are composed and compensated. Your expertise in provider networks can help us build in the next phase of evolution. In this managerial role, you’ll use your knowledge and analytical skills to help determine how clinical providers group up by specialty and service line. As you do, you’ll discover the resources, backing and opportunities that you’d expect from a Fortune 4 leader.
The Network Program Manager is responsible for successful development and implementation of network build and/or expansion projects for UnitedHealthcare Community and State (C&S) line of business. This role is on UnitedHealth Networks (UHN) responsible for the C&S line of business. UnitedHealthcare Community & State provides health care products and services to states that care for the economically disadvantaged, the medically underserved and those without the benefit of employer-funded health care coverage.
The Network Program Managers primary responsibilities include but are not limited to performing network analysis of all networks, overseeing the day to day implementation of the network strategies, coordination of development approach with network contracting teams, tracking and monitoring network contract load activities through coordination with the network operations team, network required readiness activities, provider communication/education material development and overall readiness of the networks ready to see enrollees and able to be paid for services rendered. The Program Manager also contributes to the responses to state RFPs and application. These network projects support both new market entry and markets in which C&S has an existing presence.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Lead C&S network development projects to completion
Create project plans and timelines
Support network program director and other team leadership in accomplishment of overall objectives
Initiate coherent strategy for network development involving all network contract teams (e.g., UnitedHealth Networks, UnitedHealth Networks Essential Provider Team, Optum Behavioral Health, OptumRx, Optum Physical Health)
Lead network implementation meetings and ad hoc discussions
Solve unique and complex problems that have a broad impact on the business
Develop and manage activities using internal team tools and documentation
Lead large, complex projects to achieve key business objectives
Translate highly complex concepts in ways that can be understood by audiences at all levels of the organization
Direct cross-functional and/or cross-segment teams
Escalate issues/risks and follows through to completion
Coordination of state deliverables which may include geo accessibility reports, post award and readiness review deliverables
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 working with a managed care organization, health insurer, or consultant in a network management/contract management role, such as contracting, provider services, etc.
3+ years project management or project lead experience
Working knowledge of all physician/facility/ancillary contract reimbursement methodologies
Working knowledge of MS Office (i.e. Excel, PowerPoint, CoPilot)
Proven ability to work independently including problem resolution, researching processes or market intel, and engaging internal teams and Subject Matter Experts (SME) for assistance
Proven ability to communicate complex or technical information at all levels
Preferred Qualifications:
5+ years of experience in data analytics with a solid skill level in assessing data and a working knowledge of Excel
Proven excellent communication skills, including ability to communicate effectively with leadership at all levels
Proven solid relationship building skills
Proven attention to detail
Proven team player
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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.
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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