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551601: Director of Healthcare Network Contracts - Salt Lake City UT
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Murray, UT Murray, Utah |
About this job
551601: Director of Healthcare Network Contracts - Salt Lake City UT
Optum, part of the UnitedHealth Group family of companies, is looking for an experienced Director of Healthcare Network Contracts to join our dynamic team. Things are exciting at Optum as we are experiencing unprecedented growth, and looking for someone to help build the infrastructure to support our provider network growth strategy plan for the Salt Lake City area. This position will be based at our Murray UT location. Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work. (sm)
The Director of Healthcare Network Contracts develops the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners. The Director will evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties.
Other responsibilities include:
- Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency.
- Demonstrate expertise in leading-edge theories, techniques and/or technologies.
- Lead the development of new concepts, technologies and products to meet emerging customer requirements.
- Identify and solve problems that impact the management and direction of the business.
- Develop plans that impact the long-term success of the business.
- Influence senior management decisions that impact business direction.
- Has segment-wide and/or enterprise-wide impact.
- Direct cross-functional and/or industry-wide teams.
Requirements
We are seeking candidates with the following qualifications:
- Bachelor's degree required.
- 5+ years of experience in the health care and/or health insurance industry.
- 5+ years of experience in a network management-related role handling complex network providers with accountability for business results.
- 5+ years of experience with provider contracting.
- 5+ years of experience in contributing to the development of product pricing and utilizing financial modeling in making rate decisions.
- Expert level of knowledge of Medicare reimbursement methodologies such as Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
- Strong customer service skills.
- Solid negotiating skills.
- Strong interpersonal skills, establishing rapport and working well with others.
- Objective, collaborative approach. Ability to adapt in a dynamic and high-growth environment.
- 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 form others, including but not limited to reimbursement policy standards.
- Exceptional analytical, organizational, problem solving and presentational skills.
- Intermediate or better level of proficiency with MS Office Suite (Word, Excel, PowerPoint, etc.)
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work. (sm)
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.