Associate Director of Provider Service - Iowa - Full-time / Part-time

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 Associate Director of Provider Service is responsible for the full range of provider relations and service interactions within UnitedHealth Group, including working on end-to-end provider interactions, strategy and design of the network with service delivery and oversight of the network team. You will lead a team of Provider and Senior Provider Relations Advocates, following UHG leadership practices and values. You will design and implement programs to build and nurture positive relationships between the health plan, providers (Home and Community Based Service and Long Term Support Services provider types).

Responsibilities also include directing and implementing strategies relating to the development and management of a provider network, identifying gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims.

Primary Responsibilities:

• Own an end to end process


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


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


• Product and service

Required Qualifications:

• Undergraduate degree or equivalent combination of education and relevant experience


• Demonstrated provider relations and/or network management experience


• People supervision and management experience


• Expert level of knowledge of claims/systems processes, contracting and reimbursement methodologies


• Medicare and Medicaid regulations experience


• Exceptional presentation, written and verbal communication skills


• Good organization and planning skills


• Ability to prioritize and meet deadlines from multi-staff members within the department


• Proficiency with MS Office

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place 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, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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

Job Keywords: Network Management, Provider Relations, Management, Insurance Claims, Medicare, Medicaid, Des Moines, IA, Idaho