Associate Director, Network Contracting, Rocky Hill, CT.

Company Name:
UnitedHealth Group
Position Type:
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.
The Associate Director of Network Contracting develops the provider network yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners. Associate Directors of Network Contracting evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with providers and ensuring the network composition includes an appropriate distribution of provider specialties.
Connecticut will add new Skilled Nursing Facilities for the ISNP (Evercare)program this year. This position leads a small team of Provider Relations Advocates assigned to the Connecticut market. The open position will ensure the network strategy develops, contracts are executed, incentive plans are rolled out to drive quality and efficiency, and will drive strong relationships with providers.
- In this role you will be expected to:
- Own an end to end process.
- Develop functional, market level, and/or site strategy, plans, production and/or organizational priorities.
- Apply network configuration and incentive-based payment models as appropriate.
- Identify and resolve technical, operational and organizational problems.
- Product, service or process decisions are most likely to impact entire functions and/or customer accounts.
-Individual must be goal oriented and self directed.
-Position requires strong relationship and organization skills.
-Position is located in the Rocky Hill, CT. office.
Requirements Requirements:
- 4+ years experience in a network management-related role with accountability for business results.
- 2+ years experience in the development of product pricing and utilizing financial modeling in making rate decisions.
- Expert level of knowledge of Medicare reimbursement methodologies such as Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
-2+ years experience in the analysis of data.
-Strong proficiency with MS Excel.
- 2+ years experience managing a medical cost and administrative budget
- 2+ years experience with provider contracting.
- Familiarity with SNF and LTC; preferably in the state of Connecticut.
- 2+ years of supervisory experience.
- Experience with UHG NDB and/or Emptoris.
- Excellent verbal and written communication skills. Ability to explain payment methodology to providers.
- Strong interpersonal skills. Ability to build strong relationships both internally and with providers.
-Master's degree.
UnitedHealth Group is working to create the health care system of tomorrow.
Already Fortune 25, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.
Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.
Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

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