The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This specialist role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. 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 managerial 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 6 leader. Primary Responsibilities:Participate in the development of business strategyDirect 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 cardiologyOversee 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 accessSolve unique and complex problems with broad impact on the businessThis role will challenge you to bring your best. This is a fast-paced, intense and performance focused environment where you'll be managing a portfolio of projects, tracking and communicating change and ensuring high levels of employee engagement.
Required Qualifications:5+ 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.2+ years' experience in data analysis2+ years project management or project lead experience2+ years' experience in physician/facility/ancillary contract reimbursement methodologies2+ years' experience working with claims systemsAt least an intermediate level of proficiency with MS Office suite (including Excel)Preferred Qualifications:Experience with facility/ancillary contact loading and auditing including contract submission, validation and maintenanceBuilding 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)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, provider network, network management, analysis, strategy, quality, primary care, PCP, RAF, HEDIS, West Valley City, Salt Lake City, Utah, UT
Internal Number: 751206
About UnitedHealth Group
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.