1+ months

Director Network Contracting - Multiple Locations - 908431

Houston, TX 77002
  • Job Code
    908431
UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)
""

""
The Director, Network Contracting is responsible for leading the network strategy for the South Texas Markets (Austin, San Antonio, Houston, Rio Grande Valley) in Texas, which includes a staff of 20-25 employees, 277 hospitals, 20,000+ providers. This market leader will develop, design and manage unique network strategies to support each line of business to drive growth and optimize network performance. Additionally, market leaders build, attract, develop a best in class performing network contracting team while working with all other United teams and Optum.
""

""
Primary Responsibilities:
""
    ""
  • Develop / design / manage the medical network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) to yield a distinct competitive, geographically, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable, predictable product for all customers and business partners
  • ""
  • Develop and execute market strategies that drive growth for each line of business and are aligned with overall enterprise vision
  • ""
  • Lead a high performing contracting team to deliver on the growth, affordability and unit cost goals for each line of business while maintaining positive external relationships with providers
  • ""
  • Develop and execute provider specific negotiation strategies. Deploy various contracting and reimbursement methodologies (FFS, VBC, capitation) as warranted and appropriately leverage the capabilities of the enterprise to achieve most favorable negotiation outcome
  • ""
  • Ensure the network composition includes an appropriate distribution of provider specialties for each line of business and includes multiple narrow network products
  • ""
  • Build and maintain strong business relationships with Hospital, Physician, Pharmacy or Ancillary providers at the C-suite level
  • ""
  • Anticipates and adapts strategies as business needs evolve and change
  • "
""

""
Youll 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:
""
    ""
  • Undergraduate degree or equivalent experience
  • ""
  • 8+ years of experience in a network management-related role handling complex network providers
  • ""
  • 8+ years of contracting experience in Network / Provider Management
  • ""
  • 8+ years of Healthcare experience
  • ""
  • 5+ years of experience in product pricing, financial modeling, and managing a budget
  • ""
  • 5+ years of supervisory experience
  • ""
  • Proven ability to communicate a vision and drive results
  • ""
  • Ability to synthesize data and information and translate it into actionable business strategies
  • ""
  • Ability to successfully function in a matrix organization
  • ""
  • Ability to successfully leverage relationships both internal and external
  • ""
  • Strong decision-making skills with ability to make decisions despite uncertainty and ambiguity
  • ""
  • Strong ability to operate and influence across the enterprise to drive critical decisions and execution
  • ""
  • Demonstrated broad-scope financial expertise
  • ""
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
  • "
""

""
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 7 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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.
""

""
Job Keywords: Network Contract Director, Director Network Management, Network, Contract, Contracting, Managed Care, Hospital, Physician, Ancillary, Negotiate, Negotiation, Houston, Texas, San Antonio, Austin, TX

Categories

Posted: 2021-01-26 Expires: 2021-04-24

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.

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Director Network Contracting - Multiple Locations - 908431

UnitedHealth Group
Houston, TX 77002

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast