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Vice-President Network Programs, Medicare Network Strategy - Telecommute
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Minnetonka, MN Minnetonka, Minnesota |
About this job
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 Director of Network Programs is responsible for the successful program design, compliance with network requirements, network assessment and selection, and program/product implementation. This includes enterprise-wide initiatives to improve quality and affordability. Â Directors of Network Programs 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:
Develop, translate and execute strategies for a function or discipline that span a large business unit or multiple markets/sites
Direct others to resolve business problems that affect multiple functions or disciplines
Product, service or process decisions are most likely to impact multiple functions and/or customer accounts (internal or external)
Demonstrate Medicare Advantage experience
Primary Responsibilities:
Develop, translate and execute strategies for a function or discipline that span a large business unit or multiple markets/sites
Direct others to resolve business problems that affect multiple functions or disciplines
Product, service or process decisions are most likely to impact multiple functions and/or customer accounts (internal or external)
Demonstrate Medicare Advantage experience
Requirements
Required Qualifications:Â Â Â Â Â Â
Undergraduate degree or equivalent experience
10+ 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.
Expert knowledge of Medicare Advantage products and incentives (CMS)
3+ years of experience in data analysis
5+ years of experience managing staff
3+ years project management or project lead experience
Expert level of proficiency with all facility/ancillary contract reimbursement methodologies
5+ years of experience with claims systems
Strong knowledge of business processes that impact facility/ancillary contact loading and auditing
3+ years of experience with contract submission, validation and maintenance
Ability to convey complex or technical information in a manner that others can understand
Excellent communication skills, including ability to communicate effectively with various levels of leadership
Advanced proficiency in MS Office (Excel, Access and PowerPoint)
Advanced proficiency in MS Office (Excel, Access and PowerPoint)
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: 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: Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Facility Contracting, Provider Network, Network Development, Provider Services, Contract Negotiating, Network Management, Medicare, Medicare Advantage, telecommute, telecommuter, telecommuting, work from home, remote, travel
Undergraduate degree or equivalent experience
10+ 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.
Expert knowledge of Medicare Advantage products and incentives (CMS)
3+ years of experience in data analysis
5+ years of experience managing staff
3+ years project management or project lead experience
Expert level of proficiency with all facility/ancillary contract reimbursement methodologies
5+ years of experience with claims systems
Strong knowledge of business processes that impact facility/ancillary contact loading and auditing
3+ years of experience with contract submission, validation and maintenance
Ability to convey complex or technical information in a manner that others can understand
Excellent communication skills, including ability to communicate effectively with various levels of leadership
Advanced proficiency in MS Office (Excel, Access and PowerPoint)
Advanced proficiency in MS Office (Excel, Access and PowerPoint)
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: 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: Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Facility Contracting, Provider Network, Network Development, Provider Services, Contract Negotiating, Network Management, Medicare, Medicare Advantage, telecommute, telecommuter, telecommuting, work from home, remote, travel