UnitedHealth Group Director, Network Development and Contracting - San Antonio, TX in San Antonio, Texas
Expanding access to affordable, high quality health care starts here.
This is where some of the most innovative ideas in health care are created every day.
This is where bold people with big ideas are writing the next chapter in health care.
This is the place to do your life's best work.(sm) The Director, Network Development and Contracting is responsible for the successful program design, compliance with network requirements, network assessment and selection, and program/product implementation.
This includes enterprise-wide Clinically Integrated Network teams that focus on specific clinical area Lines of Service (e.g., Cardiology, Women's Health, Oncology, etc.) to improve the quality and affordability through improvements in appropriateness and effectiveness.
The Director, Network Development and Contracting may perform network analysis and strategy development and implementation; obtain data, verify validity of data, and analyze data as required, and analyze network availability and access.
Other responsibilities may also include making recommendations regarding use, expansion, selection of networks for various products based on that analysis.
Primary Responsibilities: Own an end to end process Develop functional, market level, and/or site strategy, plans, production and/or organizational priorities Identify and resolve technical, operational and organizational problems outside own team Product, service or process decisions are most likely to impact entire functions and/or customer accounts (internal or external) Required Qualifications: Undergraduate degree 5+ years experience working with a managed care organization, health insurer, or consultant in a network management/contract management role, such as contracting, provider services, etc. 5+ years experience managing staff 3+ years project management or project lead experience Intermediate level of proficiency with all medical contract reimbursement methodologies 3+ years experience with contract maintenance Experience in medical cost analysis Excellent communication skills, including ability to present information and communicate effectively with various levels of leadership Advanced proficiency in MS Office (Excel, Access and PowerPoint) Ability to travel up to 50% Careers with WellMed.
Our focus is simple.
We're innovators in preventative health care, striving to change the face of health care for seniors.
We're impacting 290,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services.
We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness.
Our providers and staff are selected for their dedication and focus on preventative, proactive care.
For you, that means one incredible team and a singular opportunity to do your life's best work.(sm) 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. Keywords: network management, contract management, provider services, project management, San Antonio, TX, Texas 732c94f6-0eeb-4624-8485-9efb6cc445c5
Director, Network Development and Contracting - San Antonio, TX Texas-San Antonio 680247