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Hours Full-time, Part-time
Location Phoenix, AZ
Phoenix, Arizona

About this job

Position Description:



UnitedHealth
Group
is working to create the Healthcare system of
tomorrow and you can help. Already Fortune 17, we are totally focused on
innovation and change.  We work a little
harder. We aim a little higher. We expect more from ourselves and each other.
And at the end of the day, we're doing a lot of good.



 



Through our family of businesses and a lot of inspired individuals, we're
building a high-performance Healthcare system that works better for more people
in more ways than ever. Now we're looking to reinforce our team with people who
are decisive, brilliant and built for speed. 
Join with us and start doing your life's best work.SM




This position, while exercising independent judgment and decision-making according to regulatory and business processes, supervises the daily operational provider network administration functions, including, but not limited to, policy and procedure management and provider administrative guide development and distribution. The Manager will also have responsibility to establish and maintain the infrastructure for this operational area and staff accordingly.

Primary Responsibilities
  • Managing and leading a virtual team.
  • Provide strong leadership and judgment
  • Lead in a matrix organization
  • Create a team oriented work climate that enables professional development and encourages creative solutions and strategies
  • Effectively maintain and build relationships across business groups
  • Business planning and execution.
  • Driving the strategic agenda for the team, managing team workload, ensuring that team objectives align with and support the UnitedHealth Networks strategic focused agenda.
  • Interface and collaborate with UHN senior leadership on a regular basis regarding network administration related activities and projects.
  • Presentations to senior leadership.
  • Working with legal and business partners to ensure contracting tools, provider guides and policies are available in order to meet market and strategic objectives. .
  • Ensuring appropriate review and vetting of network policies and procedures, as well as managing network policies and procedures within the SPARK application.
  • Establish, attain and sustain service and operational performance metrics and indicators.
  • Drive compliance with contracting policies through training, support, and data collection and communication activities
  • Managing provider administrative guides, including annual and ad hoc updates, as well as driving strategic best practicing.
  • Driving analysis and consolidation of provider administrative guides enterprise-wide.
  • Managing special projects, as business needs require.
  • A minimal amount of travel may be required with this position (<10%).
  • The successful candidate will be able to work across department and functional lines. They will be able to manage through influence. A successful candidate will have a track record of program simplification/program improvement and innovation.
  • Manages and is accountable for professional employees and/or supervisors.
  • Impact of work is most often at the local level.

Requirements

Required Qualifications:
  • Bachelor's Degree.
  • 3+ years of experience in Managed Care working with Medicare and/or Medicaid.
  • Microsoft Excel, PowerPoint and Word experience required (Excel -creating spreadsheets, advanced formulas and tables. PowerPoint - the ability to create decks from scratch. Word - Creating and editing correspondence).
  • Experience working with legal and business partners to ensure contracting tools, provider guides and policies are available in order to meet market and strategic objectives.
  • Experience  making presentations to senior leadership.
Preferred Qualifications:
  • Master's Degree.
  • Regulatory or compliance experience.
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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, 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.