Network Program Manager

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 Network Program Manager is responsible for the successful program design, compliance with network requirements, network assessment and selection, and program/product implementation. This includes enterprise-wide Clinically Integrated Network teams that focus on specific clinical area Lines of Service (e.g., Cardiology, Women's Health, Oncology, etc.) to improve the quality and affordability through improvements in appropriateness and effectiveness. Network Program Managers may perform network analysis and strategy development and implementation; obtain data, verify validity of data, and analyze data as required, and analyze network availability and access. Other responsibilities may also include making recommendations regarding use, expansion, selection of networks for various products based on that analysis. Primary Responsibilities:


Predict emerging customer needs and develop innovative solutions to meet them

Solve unique and complex problems with broad impact on the business

Participate in the development of business strategy

Develop and manage business plans to achieve objectives

Lead large, complex projects to achieve key business objectives

Translate highly complex concepts in ways that can be understood by a variety of audiences 

Influence senior leadership to adopt new ideas, products, and/or approaches

May have segment-wide impact

Direct cross-functional and/or cross-segment teams
This role will focus on OON program projects to move them to deployment and hand off to Ongoing management sources. SO they need strong PM skills and people skills to move projects needed OON affordability.

Required Qualifications:


 Undergraduate degree or equivalent experience

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.

5+ years of experience in data analysis

3+ years project management or project lead experience

Expert level of proficiency with all physician/facility/ancillary contract reimbursement methodologies

3+ years of experience working with claims systems or claims data

3+ years of experience with facility/ancillary contact loading and auditing including contract submission, validation and maintenance

Ability to convey complex or technical information in a manner that others can understand

Intermediate level of proficiency in MS Office (Excel, Access and PowerPoint)
 
 
Preferred Qualifications:


Excellent communication skills, including ability to communicate effectively with various levels of leaders
 
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.