Associate Director of Network Programs - Remote PST

UnitedHealth Group • San Diego, CA • 4h ago

Requisition number: 2385095

Job category: Network Management

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Lead the development, implementation, and oversight of strategic network initiatives and programs that support customer business objectives

Analyze provider network performance through analysis of access, adequacy, utilization, quality, financial performance, and operational metrics and identify opportunities for process improvement, efficiency, and provider experience enhancement

Collaborate with provider contracting, provider relations, operations, regulatory, clinical, and market leadership teams to execute customer specific network strategies

Lead implementation on client-specific network mandates, ensuring operational readiness and compliance. Includes working directly with clients

Direct cross-functional projects, including benefit expansions, value-based care initiatives, reimbursement programs, and network transformation efforts

Analyze market trends, network performance data, and provider feedback to inform leadership decisions specific to customer performance

Support executive leadership through reporting, program governance, issue resolution, and communication of key network initiatives

Provide leadership, coaching, and mentorship to network program staff and project teams when applicable

Tactical Responsibilities:

West Region Direct Payer Network Point of Contact

Project Manage Provider Bulletins that impact provider networks

Ensure client specific Network Reporting set up and maintenance

Support benefit expansion initiatives

Support network quality improvement initiatives

Monitor performance guarantees

Monitor emerging trends coming from provider-facing teams. Implement corrective action plans

Regulatory and Customer audit - provider network deliverables

Client QBR participant

Oversee trade org relationships

You'll 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:

4+ years of provider relations experience

3+ years of experience with Medicare and Medicaid regulations

Comfortable with Executive Level Presentations

Demonstrated experience in customer relationship management

Ability to call on Providers

Intermediate level of knowledge of claims processing

Demonstrated proficiency in MS Word, PowerPoint, Excel, and Access

Demonstrated exceptional presentation, written and verbal communication skills

Dedicated, distraction-free workspace and access to high speed internet in home

Ability to travel up to 50%

Driver's license and access to reliable transportation

Preferred Qualifications:

5+ years of supervisory level experience in a network management-related role handling complex network providers with accountability for business results

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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