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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


United States

Postal Code:


Approximate Salary:

Not Specified

Position Type:

Full Time

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Director, Network Programs and Contracting - Las Vegas, NV

UHG - Las Vegas, Nevada

Posted: 09/6/2018

You’ve been working your way to this opportunity for some time now.  You’ve learned to lead. You’ve build a deep expertise in health care network operations.  You’ve set your sights on having more impact in more ways. It’s time to join our leadership team and help UnitedHealth Group meet the challenge of shaping where health care will go. 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 determine how clinical providers group up by specialty and service line. As you do, you’ll discover the resources, backing and opportunities that you’d expect from a Fortune 5 leader.  


Primary Responsibilities:

  • Develop and execute strategies that span a large business unit or multiple markets/sites

  • Participate in the strategic planning process and work closely with senior leadership to accomplish goals and objectives of the company with regards to provider contracting

  • Establish operations initiatives for improvement on key metrics including process improvements, financial and performance improvement and efficiencies

  • Review and analyze provider contract proposals, negotiate contract language and financial components of provider agreements and develop and implement performance based incentive programs that will promote quality and NPS

  • Direct cross-functional and / or cross-segment teams to develop enterprise-wide clinically integrated networks focused on specific clinical areas / service lines such as oncology or cardiology

  • Oversee network analysis and strategy development and implementation

  • Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness

  • Ensure teams are obtaining, validating and analyzing data impacting network availability and access


Are you ready to raise the bar? This position leads all network strategy and development for our global organization. It requires expertise and leadership in network planning and strategy as you manage multiple regional networks.

Required Qualifications:

  • Undergraduate degree or equivalent work experience

  • 8+ years experience working with a managed care organization or health insurer; or as a consultant in a network/contract management role, such as contracting, provider services, etc.

  • 7+ years of experience in data analysis

  • 5+ years of experience managing staff

  • 3+ years of project management or project lead experience

  • 5+ years experience with claims systems

  • 3+ years experience with contract submission, validation and maintenance with strong knowledge of business processes that impact facility/ancillary contact loading and auditing

  • Proficiency with all facility/ancillary contract reimbursement methodologies

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 Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to 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:  health care, healthcare, managed care, provider, network management, network data management, provider data analysis, contracting, contract management, contract negotiations, medical claims, project management, manager, director, Las Vegas, Nevada, NV


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