Director, Network Management - Remote in ID, UT or CO

Requisition Number: 2345848
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 to start Caring. Connecting. Growing together.
The Director of Network Management leads the design, implementation, and oversight of clinically integrated provider networks to ensure program success, regulatory compliance, and effective product delivery. This role is a strategic, market-facing leadership role responsible for advancing value-based care (VBC) performance across contracted primary care provider (PCP) networks supporting UnitedHealthcare (UHC) Medicare Advantage members in Colorado, Idaho, and Utah.
This role is accountable for driving performance in risk adjustment, CMS Star Ratings, and total cost of care. The Director will lead a matrixed team of Network Managers and leaders, and partner closely with network providers, Medical Directors, and other cross-functional teams to develop and execute strategies that improve provider performance and member outcomes.
If you are located in Salt Lake City, UT, Denver, CO, or Boise, ID you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:

• Develop functional, market level, and/or site strategy, plans, production and/or organizational priorities
• Ability to work closely with our dyad physician partner to direct the strategy and execution of initiatives
• Develop and execute strategies that span a large business unit or multiple markets/sites
• Direct cross-functional and/or cross-segment teams to develop enterprise-wide Clinically Integrated Networks focused on specific clinical areas/service lines such as oncology or cardiology
• Identify market-specific opportunities and risks, and translate them into actionable strategies and execution plans
• Oversee network analysis and strategy development and implementation including performance outcomes tied to provider incentive programs
• Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness
• Ensure teams are obtaining, validating and analyzing data impacting network availability and access

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, health insurer, or consultant in network management / contract management role, such as contracting, provider services, etc.
• 2+ years of experience in data analysis
• 2+ years of management experience
• Proven experience working with provider incentive programs
• Proven experience and ability with relationship building and maintenance including ability to motivate others to achieve difficult goals
• Ability to convey complex or technical information in a manner that others can understand
• Excellent communication skills, including ability to communicate effectively with various levels of leadership
• Advanced proficiency in MS Office

Preferred Qualifications:

• Proficiency with all facility/ancillary contract reimbursement methodologies
• Project management or project lead experience or proven ability to follow and execute on assigned projects
• Experience working with primary care networks in value-based arrangements
• Experience with financial performance metrics including MLR and total cost of care

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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 $134,600 to $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
OptumCare 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.