26 days old

Associate Director, Government Contracting Strategy - Las Vegas, NV office based preferred or Telecommute in Utah, Idaho, or Nevada Considered - 894512

Las Vegas, NV 89101 Work Remotely
  • Job Code
    894512

As a critical member of the network business development and contracting team, this role is responsible for implementing and measuring how the organization continues to move to alternative value-based program structures, and maintains the current network and negotiation of FFS, & risk based contracts with hospital, ancillary and professional providers. Significant interaction with key business and clinical leadership and provider partners. Manages implementation, performance, and maintenance of designated value based programs. This includes performing industry and regulatory analysis that will be used to identify, evaluate, and develop recommendations to support value based contracting, planning, and execution.


If you are located in Utah, Idaho, or Nevada, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:
  • Provide strategic direction for and oversight of managed care network development activities specific to State Medicaid programs

  • Serves as a liaison with all levels of the organization and outside community

  • Drives performance of Medicaid network and value based contracts by driving joint provider and plan initiatives

  • Develops and manages programs to ensure value based payment contractual obligations including care delivery, quality, financial, compliance and legal are met

  • Partners across the matrix enterprise to implement value based contracts and drive value based contract performance with cross-functional partners including but not limited to Health Informatics, Pricing, Strategy, Quality and Clinical

  • Reviews contract performance against expectations and help guide future value based payment model direction to strengthen our value proposition, improve our competitive position, and meet goals and objectives

  • Keeps up to date on industry and patient consumer trends within the State and Federal insurance industry

  • Supports development of strategic summaries, positioning documents, and executive presentations that clearly and professionally communicate to senior level audiences

  • Analyzes industry trends, patient/ member needs, and internal performance to deliver data-driven insights to support actionable strategic direction, prioritization, and strategy communication

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:

  • Bachelor's degree in business or related field,or equivalent experience
  • Minimum of 5 years in a network development role with emphasis on value based contracting
  • Strong knowledge of payment methodologies including fee for service and alternative risk arrangements
  • Knowledge of HEDIS quality program
  • Strong knowledge of systems of payment in the healthcare (MS-DRG, APC, Groupers, DMEPOS, RBRVS, etc)
  • Working knowledge Excel, Microsoft Teams, Office
  • Effective relationship building skills
  • You will be asked to perform this role in an office setting or other company location, however, may be required to work from home temporarily due to space limitations
  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

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.

Job Keywords: Associate Director, Government Contracting Strategy, Network Development, HEDIS, Healthcare, Las Vegas, NV, Nevada, Utah, Idaho, Telecommute, Telecommuter, Telecommuting, Remote, Work from home, Work at home

Categories

Posted: 2020-11-03 Expires: 2020-12-25

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Associate Director, Government Contracting Strategy - Las Vegas, NV office based preferred or Telecommute in Utah, Idaho, or Nevada Considered - 894512

UnitedHealth Group
Las Vegas, NV 89101

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