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UnitedHealth Group

UnitedHealth Group is looking for a Associate Director, Network Contracting – Telecommute  #PagosaSpringsCareerJobs #HiringNearPagosaSprings #DirectorJobsPagosaSprings

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)The Associate Director of Network Contracting has oversight of provider network development, including monitoring for specialty and geographic gaps. This includes facility, physician & ancillary groups contract negotiation oversight and strategic remediation of areas of gaps. The Associate Director of Network Contracting will assist Director of Network Contracting in achieving objectives for strategic network performance, quality, trend management, and affordable and predictable product for customers and business partners. The Associate Director of Network Contracting will ensure team negotiations are in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with Facility, Physician and Ancillary providers, and ensuring the network contracting team is building a network of provider specialties to remain compliant with our customers. This position is key in each market, working both externally and internally in evolving health care to keep up with and exceeding industry standards. Youll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges.Primary Responsibilities: Accountability for ensuring contract teams monitor end to end provider network contracting process and address gaps in process Maintain a sound network of providers within assigned area Develop geographic provider network strategy, to remain complaint with our customers and/or organizational priorities Apply network configuration and incentive – based payment models as appropriate to improve quality and efficiency Identify and resolve technical, operational, and organizational problems both within and outside own team and address to resolution Work directly with Program, Operations and Process teams to ensure that decisions impacting contracting functions and/or internal and external customer requirements remain compliant  Ensure sound relationships with internal and external customers are maintained Set a sound example of UnitedHealth Groups culture values, including ethics and integrity Manage a team of managers and contractorsYoull 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: Bachelors degree or equivalent work experience  6+ years of experience with a provider network contracting team to include leadership and oversight of complex network providers with accountability for business sound results 1+ years of experience working directly on government programs Project management experience Direct facility, physician and/or ancillary contracting experience, including direct negotiations Working knowledge of Medicare and Medicaid reimbursement methodologies such as Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.  Understanding of provider network operations with alignment to provider contractingPreferred Qualifications: Experience in the development of product pricing and utilizing financial modeling  Experience using standard analytics to determine priorities to determine network contracting priorities Dental contracting experience Accustomed to building brand networksCareers with Optum. Here’s the idea. We built an entire organization around one giant objective; make health care 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)Colorado Residents Only: The salary range for Colorado residents is $94,500 to $171,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, youll find a far-reaching choice of benefits and incentives.*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.Diversity creates a healthier atmosphere: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers 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.OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Job keywords: Associate Director, Network Contracting, Provider Contracting, Medicare, Medicaid, Government Programs, OptumServe, Optum, UHG, UnitedHealth Group, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH, Shelton, CT, Connecticut Recommended SkillsManagementMedicareMedicaidResource Based Relative Value ScaleOperationsRecommended JobsDirectorAtlanta,GaDirector, Atlanta,GaAssociate Director, Network Contracting – TelecommuteUnitedHealth GroupWork From HomeFull Time
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