There has never been a time that was more right for people who want to lead. Health care is changing and evolving at a pace that few could have predicted. Technology, ideas and bold vision are taking companies like UnitedHealth Group to new levels of performance. This is the time and the opportunity that can bring your impact to a whole new level. As a leader within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 6 leader. This role will lead a small team of network contractors responsible for contracting hospitals, physicians and other healthcare providers for Commercial, Medicare Advantage, and Medicaid products. The individual selected will also personally manage the contracting process for large healthcare delivery systems in the state of Florida. The position will be located within the state, preferably Tampa, Miami or Orlando. (Other Florida locations will still be considered) Primary responsibilities:Manage unit cost budgets, target setting, performance reporting and associated financial modelsApply network configuration and incentive - based payment models as appropriate to improve quality and efficiencyLead the development of new concepts, technologies and products to meet emerging customer requirementsDirect cross-functional and/or industry - wide teams with segment-wide and/or enterprise-wide impactInfluence senior management decisions that impact business directionYour leadership skills and drive to get things accomplished will be key to your success in this role. The end goal is to produce an affordable and predictable product for customers and business partners within new markets, so you will need to be able to lead us forward and help us develop provider networks with Accountable Care Organizations yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management.
Required Qualifications:10+ years in the healthcare industry8+ years of experience in a network management related role handling complex network providers with accountability for business results6+ years of experience with provider contracting, including negotiation of rates and terms4+ years of experience in developing of product pricing and utilizing financial modeling in making rate decisionsExpert level (3+ years) of knowledge of Medicare reimbursement methodologies such as Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.Intermediate or higher proficiency with MS Excel Preferred Qualifications:Experience working with large healthcare systems in the State of FloridaPrevious leadership/managerial experienceExcellent verbal and written communication skillsStrong interpersonal skills, establishing rapport and working well with othersStrong customer service skillsUndergraduate or higher level degreeCreating and fine tuning provider networks helps improve access to health care for millions. It's an outstanding opportunity to have more meaning and purpose in your career. Join us. Find out how you can start doing your life's best work.SM 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, Large Healthcare Systems Contract Negotiation, Network management, network contracting, Director, Provider Contracting, Director, Leadership, Florida
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.