Associate Director, Network Contracting - Northern California - Full-time / Part-time

Expanding access to affordable, high quality health care starts here. Healthcare contracting and accurate pricing will have more of an impact on every patient, provider and consumer as this industry continues to prove itself always changing and evermore challenging, and your opportunity to influence that outcome in a daring and bold fashion is here. UnitedHealth Group is like no place you've ever seen or worked before, with the chance to grow and develop as your contributions to ensure the healthcare contracts are priced accurately and fairly for all involved, go further to heal the healthcare system than you'd ever imagined possible. 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 Associate Director of Network Contracting 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.  Associate Directors of Network Contracting 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.

Primary Responsibilities:

• Own an end to end process


• Develop functional, market level, and/or site strategy, plans, production and/or organizational priorities


• Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency


• Identify and resolve technical, operational and organizational problems outside own team


• 
  

  Product, service or process decisions are most likely to impact entire functions and/or customer accounts (internal or external)



• 
  

  Have a solid knowledge around Value Based Contracting strategies, including Performance Based Contracting



• 
  

  Demonstrate a track record of strategic successes, having an ability to lead a team and market through both strategic and tactical execution

Required Qualifications:

• Undergraduate degree or equivalent experience


• 5+ years of experience in a network management-related role handling complex network providers with accountability for business results


• 5+ years of experience in the health care industry


• 2+ years of experience in the development of product pricing and utilizing financial modeling in making rate decisions


• 2+ years of experience managing a medical cost and administrative budget


• Expert level of knowledge of Medicare reimbursement methodologies such as Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.


• 2+ years of experience with provider contracting


• 5+ years of supervisory experience


• Strong customer service skills


• 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


• Strong interpersonal skills, establishing rapport and working well with others

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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.

Job Keywords: Healthcare, Contracting, Account Manager, Negotiation, Business Development, Manager, Consultant, Director, San Francisco, Concord, Sacramento, CA