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Senior Director, Healthcare Provider Network Contracting - Central / Northern California

Company: UnitedHealth Group
Location: Alamo
Posted on: April 10, 2021

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)--If you reside in the Central / Northern California Market, 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:
    • Undergraduate degree or equivalent experience
    • 5+ 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
    • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained--Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 7 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:-- Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Facility Contracting, Provider Network, Network Development, Provider Services, Contract Negotiating, Network Management, Accountable Care Organization (ACO), Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote, Concord, Oakland, --San Francisco, Sacramento, CA, California

Keywords: UnitedHealth Group, San Francisco , Senior Director, Healthcare Provider Network Contracting - Central / Northern California, Executive , Alamo, California

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