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Company Name:
UnitedHealth Group
Approximate Salary:
Not Specified
Location:
Austin, Texas
Country:
United States
Industry:
Position type:
Experience level:
Education level:

Director of Network Contracting Austin or San Antonio, TX

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 of Network Contracting develops the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) 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. 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 Hospital, Physician, Facilities or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties.

Primary Responsibilities:

  • Develop, translate and execute network strategies or functional / operational objectives for all UHC lines of business
  • Apply network configuration and incentive - based payment models as appropriate to improve quality and efficiency

  • Direct others to resolve highly complex or unusual business problems that affect major functions or disciplines

  • Drive programs that impact markets of customers and consumers


Preferred Qualifications:

  • Strong customer service skills
  • Strong interpersonal skills, establishing rapport and working well with others

  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others, including but not limited to reimbursement policy standards

  • Decision making and problem solving skills

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 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: Director of Network Contracting, Healthcare Industry, Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, provider contracting, management, product pricing and utilizing financial modeling, problem solving skills, Austin, TX, San Antonio, TX, Houston, TX


Associated topics: company, compliance, compliance department, compliance office, corporate, counsel, court, internal, llp, market

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