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Director of Network Contracting - San Diego Market (Telecommute)

Company: UnitedHealth Group
Location: Cypress
Posted on: January 8, 2022

Job Description:

Director of Network Contracting - San Diego Market (Telecommute) Requisition Number: 2011083 Job Category: Network Contracting & Pricing Primary Location: Cypress, CA
(Remote considered) US APPLICANTS ONLY: To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements, and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. Careers at UnitedHealth Group We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) As a 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. -In this influential, high-impact role, the emphasis will be on setting strategy and working across a matrixed organization to achieve desired results. The environment is fast paced and demanding, so you will be changing priorities often and reacting to the needs of the marketplace. If you are located in California, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities:

  • Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
  • Develop and execute strategies for a function or discipline that span a large business unit or multiple markets/sites
  • Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency
  • Direct others to resolve business problems that affect multiple functions or disciplines
  • Direct work that impacts entire functions and/or customer accounts (internal or external) 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 management experience in a network management-related role handling complex network providers with accountability for business results
    • 5+ years of experience developing product pricing and utilizing financial modeling in making rate decisions
    • 5+ years of experience with provider contracting
    • 3+ years of experience developing and managing a medical cost and administrative budget
    • Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), Diagnosis Related Groups, Ambulatory Surgery Center Groups, etc
      Preferred Qualifications:
      • Familiarity/Experience with the San Diego market UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
        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. Job Keywords: -provider contracting, San Diego, California, UnitedHealthcare, UHC, healthcare, health insurance, provider network management, network contracting, CA, -WFH, work from home, work at home, telecommute, telecommuter, telecommuting, remote Business Segment UnitedHealthcare Networks We want you to know what our hiring process looks like. Watch the video and find out what to expect along the way. We're sharing a few of many incredible stories from women across our enterprise who have been empowered by or have empowered other women in the workplace.--- Learn about Benjamin Meets, the Senior Vice President of Corporate Marketing, Brand and Events at Optum and how UnitedHealth Group helps create a safe space for everyone. --- Getting an internship UnitedHealth Group is not only an opportunity to do something extraordinary with your summer, it's also an opportunity to land your first full time job. Most college students know the last internship before graduation is perhap--- UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-800-561-0861 and say "Application Question" to be connected to Recruitment Services. Recruitment Services' hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday. UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc. 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.

Keywords: UnitedHealth Group, Cypress , Director of Network Contracting - San Diego Market (Telecommute), Executive , Cypress, California

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