Associate Director, Behavioral Health Network - C&S TN, Remote in TN - 2276135

UnitedHealth Group; Brentwood (TN); Hybrid; Confidential; Full time

Job summary

An established industry player is seeking an Associate Director for Behavioral Health Network to enhance provider relations and network development. This role involves managing provider interactions, resolving claims issues, and fostering positive relationships with healthcare providers. With a focus on strategic objectives, you will collaborate with various teams to ensure an integrated provider experience while navigating a complex environment. The position offers remote flexibility and a competitive salary range, making it a compelling opportunity for someone passionate about improving healthcare systems.

Benefits

Comprehensive benefits package

Incentive programs

Stock purchase options

401k contributions

Qualifications

• 5+ years of experience in Behavioral Health Care Network Management or similar roles.
• Strong communication skills across organizational levels and with leadership.

Responsibilities

• Manage provider relations and network development.
• Develop strategies supporting health plan programs based on market needs.
• Resolve operational issues and manage provider inquiries.

Skills

Behavioral Health Care Network Management

Communication Skills

Influencing and Collaboration

Claims and Payment Policies Knowledge

Tools

FACETS

Salesforce

EDI

MS Office

Job description

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Join us to build a more responsive, affordable, and equitable healthcare system. Ready to make a difference? Come build the future with us: Caring. Connecting. Growing together.

As the Associate Director, Behavioral Health Network, you will serve as the voice of our providers within the organization. Your responsibilities include managing provider relations, service interactions, network development, and contracting. You will oversee contract relationships, address claim issues, promote portal usage, and develop provider education programs. Your role involves designing programs to foster positive relationships and meet strategic objectives with providers, hospitals, and practice managers. You will also identify network gaps and guide contracting priorities.

This position requires being located in Tennessee, preferably in Middle or West Tennessee, with remote work flexibility.

Primary Responsibilities:

1. Represent provider interests within the organization, measured by Provider NPS.
2. Act as a dedicated resource for assigned providers and market organizations.
3. Serve as a subject matter expert on complex contract requirements.
4. Build and maintain relationships with key providers and serve as their primary contact for behavioral health relations.
5. Develop strategies and plans supporting health plan programs based on market needs.
6. Collaborate with other teams to ensure an integrated provider experience.
7. Manage provider inquiries and resolve claim issues.
8. Develop partnerships for sharing best practices and innovation.
9. Proactively address provider needs with solutions.
10. Navigate cross-functional teams in a complex environment.
11. Resolve operational and organizational issues beyond your team.
12. Explain complex issues clearly to others.
13. Lead and evaluate the performance of managers and senior staff.

Required Qualifications:

1. 5+ years of experience in Behavioral Health Care Network Management or similar roles.
2. Experience with TENNCARE Medicaid.
3. Strong communication skills across organizational levels and with leadership.
4. Ability to influence and collaborate effectively.
5. Experience achieving goals in a matrix environment.
6. Understanding of behavioral health provider contracting and terminology.
7. Knowledge of claims and payment policies.
8. Familiarity with systems like FACETS, Salesforce, EDI, and clearinghouses.
9. Proficiency in MS Office applications.
10. Willingness and ability to travel locally up to 25% within Tennessee.

*Employees working remotely must adhere to UnitedHealth Group’s Telecommuter Policy.

Salary range: $106,800 to $194,200 annually, based on full-time employment, experience, and other factors. Benefits include a comprehensive package, incentive programs, stock purchase options, and 401k contributions.

Our mission is to help people live healthier lives and improve the healthcare system for everyone, addressing disparities and promoting equity. We are an Equal Opportunity Employer and a drug-free workplace, requiring drug testing prior to employment.