Director of Network Contracting - Rocky Hill, CT

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 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.
In this role you will be expected to:
- 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)
Ability to travel throughout the CT market to provide service and expand relationships with the skilled nursing home community. Establish and execute on growth strategies with new and existing clients. Ability to analyzes data to propose contract models and fee schedules. Assess and interpret customer needs and requirements: adhere to unit cost targets and access standards for payer clients. Provide leadership to and is accountable for the performance of managers and/or professional staff. Capability of managing a variety of complex issues while driving key projects. Ability to manage risks.

Required Qualifications:


Undergraduate degree or equivalent experience

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

Intermediate to expert skill level in Excel

2+ years of supervisory experience

Must be located within a commutable distance of the location listed in the job description

Demonstrated relationships of customer service for long periods of time

Ability to influence behaviors of internal and external partners across the matrix organizations
 
Preferred Qualifications:


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

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

Experience with provider contracting

Experience in the health care industry

Experience in the development of product pricing and utilizing financial modeling in making rate decisions

Value based contracting

Execute a strategic vision
 
UnitedHealth Group is working to create the health care system of tomorrow.
 
Already Fortune 14, 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 health care 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.
 
Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.
 
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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 Contracting, Rocky Hill, CT, Connecticut, network management, customer service, provider contracting, health care, contracting
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