Associate Director, Network Programs at Minnetonka

Job Description

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your lifes best work.(sm) UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.UnitedHealthcare Community & State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.Together, were removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.The Associate Director of Network Programs is responsible for the successful program design, compliance with network requirements, network assessment and selection, and program/product implementation. This includes enterprise-wide Clinically Integrated Network teams that focus on specific clinical area Lines of Service (e.g., Cardiology, Womens Health, Oncology, etc.) to improve the quality and affordability through improvements in appropriateness and effectiveness. Associate Directors of Network Programs may perform network analysis and strategy development and implementation; obtain data, verify validity of data, and analyze data as required, and analyze network availability and access. Other responsibilities may also include making recommendations regarding use, expansion, selection of networks for various products based on that analysis. In this role you will be expected to: Own an end to end process. Develop functional, market level, and/or site strategy, plans, production and/or organizational priorities. Identify and resolve technical, operational and organizational problems outside own team. Product, service or process decisions are most likely to impact entire functions and/or customer accounts (internal or external). This position will be responsible to drive all network activities relating the development of networks and products for the Individual and SHOP exchanges. The position will interact with all levels of network management as well as our partners in product, exchange, clinical, sales and IT to deliver first class products and networks by the prescribed deadline.Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.

Job Requirements

- Undergraduate degree strongly preferred 5+ years experience working with a managed care organization, health insurer, or consultant in a network management/contract management role, such as contracting, provider services, etc. 5+ years experience in data analysis. 5+ years experience managing staff. 3+ years project management or project lead experience. Intermediate level of proficiency with all facility/ancillary contract reimbursement methodologies. 5+ years experience with claims systems. Strong knowledge of business processes that impact facility/ancillary contact loading and auditing. 3+ years experience with contract submission, validation and maintenance.. Ability to convey complex or technical information in a manner that others can understand. Excellent communication skills, including ability to communicate effectively with various levels of leadership. Advanced proficiency in MS Office (Excel, Access and PowerPoint). Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Country: USA, State: Minnesota, City: Minnetonka, Company: UnitedHealth Group.