There’s never been a time that was more right for people who want to lead. Health care is changing and evolving at a pace that few could have predicted. Technology, ideas and bold vision are taking companies like UnitedHealth Group to new levels of performance. This is the time and the opportunity that can bring your impact to a whole new level. We’re driving ever higher levels of sophistication in how provider networks are composed and compensated. Your expertise in provider networks can help us build in the next phase of evolution. In this Director level role, you’ll use your knowledge and analytical skills to help shape and execute our commercial network strategy. As you do, you’ll discover the resources, backing and opportunities that you’d expect from a Fortune 6 leader.
Represents and advocates for UnitedHealthcare’s Employer and Individual (E&I) business segment to ensure network strategy and programs are being evaluated, developed and executed to deliver on our commitments to our commercial customers and members.
Primary lead serving as the E&I and the UnitedHealth Networks (UHN) commercial business planning contact. Oversees monthly commercial executive reporting (Monthly Business Reviews, CEO Reporting, Best In Class “BIC” reports, Total Cost Of Care “TCOC” reports) to ensure business plan priorities are well communicated, executed and tracked by the UHN organization. Follows up and researches any executive inquiries on related reports.
Engages, contributes or leads network solution projects when unique complex commercial network and/or E&I client abrasion issues are escalated.
Independently engages with cross function teams that need input/collaboration from the commercial network team. (i.e. Reimbursement Policy Oversight Committee, commercial Diabetes Solutions team, Dialysis Summit)
Adapts departmental plans to manage new emerging priorities to address business and operational challenges when they arise.
Develops and maintains network access strategy and guidance documents “rules of the road” that support emerging client request for unique network configurations (client specific providers, vendor usage, network tiering request.)
Supports a rational cohesive horizontal provider strategy across all lines of business through strong communication with their Medicare and Retirement (M&R) and Community and State (C&S) business segment peers.
Provides secondary input and support for the UnitedHealthcare Data Policy Management (DPM) Governance group.
Develops and delivers a concise credible commercial network value story for Sales University and UHN University.
Speaks with detailed expertise to clients and other external audiences regarding our network strategies and innovations.
- Undergraduate degree or equivalent experience
- 5+ years of experience in a network management-related role handling complex network providers with accountability for business results.
- 5+ years of experience in the health care industry.
- Excellent verbal and written communication skills; ability to develop presentations and 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.
- Organized, detailed oriented project management skills.
- Ability to interact effectively at all levels of the enterprise.
- Telecommuting option available.
- Master degree in management or healthcare related field.
- Strong customer service skills
- Strong interpersonal skills, establishing rapport and working well with others
- 2+ years of supervisory experience
Building diverse, high quality provider networks is creating greater access to health care and improving the lives of millions. Join us. Learn more about 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
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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.