Program Network Manager

UnitedHealth Group; Riverton Siding (UT); Hybrid; USD 92,000 - 164,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Incentive and recognition programs

Job summary

UnitedHealth Group seeks a Program Network Manager to drive evolution of provider networks within Medicare Advantage/Risk Adjustment. The role blends analytics, strategy, and relationship management to ensure providers succeed in a dynamic, performance-focused environment.

Based in Draper, UT, with travel across Wasatch Front, this hybrid position emphasizes performance, change leadership, and cross-functional collaboration to improve care quality and affordability.

Qualifications

• 2+ years of experience with a managed care organization, health insurer, or network/contract management consulting.
• 2+ years of project management or lead experience.
• 2+ years of data analysis experience interpreting complex datasets.
• Proven ability to deliver engaging presentations to senior leadership and executives.
• Sales experience: ability to sell and gain buy-in from provider groups, especially with evolving contracts.
• Experience with healthcare data analytics tools and platforms.
• Proven expertise in physician, facility, and ancillary contract reimbursement methodologies.
• Strong analytical and problem-solving abilities.
• Excellent communication and interpersonal skills.

Responsibilities

• Build and maintain strong relationships with provider groups to foster collaboration and trust.
• Strategize and guide priorities for provider groups to align with goals.
• Analyze data to identify improvement opportunities and develop actionable strategies.
• Collaborate with cross-functional teams to involve the right stakeholders in decisions.
• Monitor provider groups to ensure they meet contract standards across performance metrics.
• Provide regular performance reports to provider groups and senior management.
• Participate in developing business strategy and driving program design.

Skills

Provider networks

Project management

Data analysis

Presentations

Sales experience

Healthcare data analytics

Contract reimbursement

Analytical skills

Communication skills

Tools

Healthcare analytics tools

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Program Network Manager (2393518)

Program Network Manager - 2393518

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

The Program Network Manager will leverage their expertise in provider networks to drive the next phase of evolution in how provider networks are composed and compensated. This role requires a blend of analytical skills, strategic thinking, and relationship management to ensure clinical providers successful within the Medicare Advantage/Risk Adjustment Model. The successful candidate will thrive in a fast-paced, performance-focused environment, managing a portfolio of projects and ensuring high levels of group engagement.

Primary Responsibilities:

• Build and maintain strong relationships with provider groups to foster collaboration and trust


• Strategize and guide priorities for provider groups to ensure successful performance and alignment with organizational goals


• Analyze data to identify areas for improvement and develop actionable strategies


• Collaborate with cross-functional teams to ensure the right stakeholders are involved in discussions and decision-making processes


• Monitor and ensure provider groups meet contract standards across various performance metrics


• Provide regular performance reports and updates to provider groups and senior management


• Participate in the development of business strategy


• Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness


• Solve unique and complex problems with broad impact on the business

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:

• 2+ years of experience working with a managed care organization or health insurer, or as a consultant in a network/contract management role (e.g., contracting, provider services)


• 2+ years of project management or project lead experience


• 2+ years of experience in data analysis, with the ability to interpret complex data sets


• Proven experience delivering engaging and impactful presentations to large audiences, including senior leadership, medical directors, and C-suite executives


• Sales experience, with the ability to effectively \"sell\" and gain buy-in from provider groups, particularly in the context of evolving incentive contracts. This includes the ability to clearly articulate the benefits and value propositions of new contract terms and motivate provider groups to adopt changes


• Experience with healthcare data analytics tools and platforms


• Proven expertise in physician, facility, and ancillary contract reimbursement methodologies


• Proven solid analytical and problem-solving skills


• Proven excellent communication and interpersonal skills

Preferred Qualifications:

• Certification in project management (e.g., PMP)


• Experience with Medicare Advantage and Risk Adjustment


• Proficiency in using data analysis tools and software


• Proven solid presentation and public speaking skills, with the ability to convey complex information clearly and effectively


• Proven ability to handle difficult conversations while maintaining positive relationships

Location and Work Environment:

• Based in Draper, UT, with travel to provider clinics across the Wasatch Front


• Hybrid work environment with a mix of office-based and remote work


• Collaborative and dynamic team environment focused on continuous improvement and innovation

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 $91,700 - $163,700 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

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.