UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Network Program Manager-315167
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare, what you do matters. It's that simple...and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
To provide project management and consultative support to the Network Capabilities Group, which includes Contract Control & Installation (CCI) and Network Data Management (NDM). Job Duties could include the following:
- Support definition of initiatives, tracking of progress, documentation of objectives.
- Manage project groups and meetings independently and report back to leadership
- Process Design & Mapping
- Research & Root Causes for existing problems or gaps
- Coordinate projects across all areas within UHN (including Network Management and NCST)
- Support policy & procedure development
- Support training efforts
- Coordinate and lead efforts for change in process and procedure
Positions in this function are responsible for the successful program design, compliance with network requirements, network assessment and selection, and program/product implementation. This includes enterprise-wide Clinically Integrated Network teams that focus on specific clinical area Lines of Service (e.g., Cardiology, Women's Health, Oncology, etc.) to improve the quality and affordability through improvements in appropriateness and effectiveness. May perform network analysis and strategy development and implementation. Obtains data, verifies validity of data, and analyzes data as required. Analyzes network availability and access. May make recommendations regarding use, expansion, selection of networks for various products based on that analysis.
- Company thought leader.
- Functional SME.
- Broad business approach.
- Resource to senior leadership.
- Develops pioneering approaches to emerging industry trends.
This position has been posted in support of legal and regulatory compliance initiatives for UHG in California. The goal for the additional staff is to support various defined process improvement efforts and action plans across United Health Networks. The focus of these initiatives is to address existing weaknesses and gaps in existing processes surrounding contract submission & entry, data feeds and reconciliation between NDB and RIMS as well as management of delegated providers and rosters in California. Job responsibilities will depend upon the specific job title but could include actual data entry support, research and root causes support, project management, policy and procedure development, reporting/data analysis and training.
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career. Qualifications
- Business knowledge and system (i.e. RIMS, NICE) platform experience preferred.
- Knowledge of provider data maintenance and contract entry & maintenance preferred.
- Excellent communication skills required including ability to communicate effectively with various levels of leadership
- Project Management skills desired but certificate not required.
- Ability to independently lead department projects and efforts required.
- Must be skilled in all microsoft products including WORD, EXCEL, Powerpoint, Project.
- Familiarity with ACCESS is a plus.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
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.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. |
