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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Network Contracting and Pricing

Country:

United States

Postal Code:

08830

Approximate Salary:

Not Specified

Position Type:

Full Time

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Associate Director of Network Contracting - Iselin, NJ

UHG - Iselin, New Jersey

Posted: 09/30/2018

The time has come to raise your game and help us raise ours. You've learned to lead. You've built a deep expertise in health care network operations. You've set your sights on having more impact in more ways. Now it's time to join our leadership team and help UnitedHealth Group meet the challenge of shaping where health care will go. As an Associate Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 6 leader.


Primary Responsibilities

  • Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
  • 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
  • Direct work that impacts entire functions and/or customer accounts (internal or external)

Are you ready to put your skills to the test? In this high-impact role, you will need to be a strong leader and have the proven ability to establish trust and build relationships with leaders and experts across an organization.


Required Qualifications

  • 5+ years of supervisory level experience in a network management-related role handling complex network providers with accountability for business results
  • 2+ years of experience developing product pricing and utilizing financial modeling in making rate decisions
  • 2+ years of experience managing a medical cost and administrative budget
  • 2+ years of experience developing or managing Physician based quality and financial incentive programs
  • Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
  • 2+ years of experience with provider contracting
  • Undergraduate degree or equivalent experience

Creating and fine-tuning provider networks helps improve access to health care for millions. It's an outstanding opportunity to have more meaning and purpose in your career. Join us. Find out how you can start doing your life's best work.(sm)

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 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, health care, Contracting, Account Manager,  Negotiation, Business Development, Manager, Consultant

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