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UnitedHealth Group Director Network Contracting - Remote - Northeast Region in New York, New York

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)

The 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. 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.

If you are located in Northeast NY, you will have the flexibility to work remotely* as you take on some tough challenges

Primary Responsibilities:

  • Develop, translate, and execute strategies or functional / operational objectives for a region, line of business, or major portion of a business segment functional area

  • Apply network configuration and incentive - based payment models as appropriate to improve quality and efficiency

  • Direct others to resolve highly complex or unusual business problems that affect major functions or disciplines

  • Provides leadership to and is accountable for performance and results through multiple layers of management and senior level professional staff

  • Drive programs that impact markets of customers and consumers

  • Seeking seasoned professional with NY market knowledge, extensive network strategy experience, direct hospital and physician contracting experience, including value based

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 8+ years of experience in a network management related role handling complex network providers with accountability for business results

  • 5+ years of experience in developing of product pricing and utilizing financial modeling in making rate decisions

  • 4+ years of experience with provider contracting

  • 3+ years of management experience

  • 2+ years of experience delivering presentations

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

  • Intermediate or better level of proficiency with MS Excel

  • Willing and able to travel up to 25% within Long Island, NYC, Hudson Valley

Preferred Qualifications:

  • Undergraduate or higher-level degree

  • 15+ years of experience in the healthcare industry

  • 5+ years of experience developing and managing a medical cost and administrative budget

  • Experience with multiples lines of business

  • Experience with large providers, including hospitals

  • Experience contracting in they NY market

  • Proven solid customer service skills

  • Proven excellent verbal and written communication skills

  • Proven solid interpersonal skills, establishing rapport and working well with others

Careers with UnitedHealthcare. Work with a Fortune 5 organization that’s serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.

New York Residents Only: The salary range for New York residents is $142,300 to $273,200. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.