Associate Director, Provider Network Contracting

UnitedHealthcare; New Orleans (LA); On-site; USD 113,000 - 193,000; Full time

Job summary

UnitedHealthcare in New Orleans seeks an Associate Director in network contracting to guide development of competitive provider networks and unit cost management through pricing modeling and reporting. This role drives strategic initiatives and cross-functional collaboration within a Fortune 6 leader.

The ideal candidate has 5+ years in network management, strong financial modeling skills, and deep knowledge of Medicare cost structures.

Qualifications

• 5+ years supervisory experience in network management with complex providers.
• 2+ years of pricing and financial modeling for rate decisions.
• 2+ years managing medical cost and administrative budgets.
• 2+ years of provider contracting experience.
• Expert knowledge of Medicare RBRVS and DRGs.

Responsibilities

• Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
• Develop functional, market level and/or site strategy, plans, production 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
• Direct work that impacts entire functions and/or customer accounts (internal or external)

Skills

Supervisory leadership

Pricing modeling

Budget management

Provider contracting

Medicare RBRVS knowledge

DRGs knowledge

Driver's license

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. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The time has come to raise your game and help us raise ours. You've learned to lead. You've built a deep expertise in health care network operations. You've set your sights on having more impact in more ways. Now it's time to join our leadership team and help UnitedHealth Group meet the challenge of shaping where health care will go. As an Associate 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. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 6 leader.

Primary Responsibilities

• Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
• Develop functional, market level and/or site strategy, plans, production 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
• 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

• 5+ years of supervisory level experience in a network management-related role handling complex network providers with accountability for business results
• 2+ years of experience developing product pricing and utilizing financial modeling in making rate decisions
• 2+ years of experience managing a medical cost and administrative budget
• 2+ years of experience with provider contracting
• Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
• Driver's License and access to a reliable transportation

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.