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?
VP Provider Network Management--Omaha, NE-316012
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, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.
Develops the provider network (physicians, hospitals, 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. Evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Establishes and maintains strong business relationships with Hospital, Physician, or Ancillary providers, and ensures the network composition includes an appropriate distribution of provider specialties.
- Provides leadership to and is accountable for the performance and results of diverse or broad functions through multiple layers of management.
- Impact of work is most often at the business segment or enterprise level.
- Owns output of the entire system made up of all related processes.
- Drives programs that impact markets of customers and consumers
- Develops, translates and executes strategies or functional and operational objectives at the segment level.
- Product, service or process decisions are most likely to impact the entire enterprise, industry, and/or marketplace.
Qualifications
Qualifications:
- Seven+ years in network or contract management leading contract negotiations
- Bachelors degree or equivalent experience
- Extensive knowledge of health care industry, legal/regulatory issues, and operations knowledge, including thorough knowledge of provider reimbursement methodologies (Commercial, Medicare, Medicare)
- Proven successful experience in negotiation strategy development, and negotiation leadership/mgmt skills
- Proven successful experience in managing contracting professionals
- Complete proficiency in utilizing and interpreting financial models and network adequacy analyses
- Experience applying pricing, financial analyses, hospital bill audit results and contract standards to the development of Requests for Proposals and negotiation strategies
- Problem solving skills, including the ability to systematically analyze complex problems, draw relevant conclusions, and successfully devise/implement appropriate solutions
- 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 from others
- Proficient in speaking in both individual and group settings, particularly with providers and outstanding persuasive speaking skills
- Ability to multi-task, shifting back and forth effectively among multiple activities
- Possesses good interpersonal skills, establishing rapport and working well with others
- Demonstrated leadership skills as defined in UnitedHealth Group's Leadership Success Factors and UnitedHealthcare's Employee Value Proposition
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.
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. |
