At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come b…
$750 SIGN ON BONUS FOR EXTERNAL APPLICANTS Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. The work you do with our team w…
Skills: Customer service, Patient registration, Insurance verification, Electronic medical record, Data entry
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come b…
Skills: Community Outreach, Program Planning, Member Advocacy, Cultural Competency, Data Analysis
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 ca…
Skills: Tanium, Patch management, Vulnerability remediation, IT infrastructure operations, Active Directory
MCD RN - Radiology: Kelsey-Seybold Clinic - Main Campus
Houston, Texas, United States · On-site
$35/hr–$62/hr
Mid level$7.6B raised
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation’s leading health care organizations and build your career at one of our 40+ locations throughout Houst…
Skills: Registered nursing, Radiology nursing, Patient care, Medical imaging, BCLS certification
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 ca…
Field Care Coordinator - Arlington, VA and surrounding areas
Arlington, Virginia, United States · Remote OK
$24/hr–$43/hr
Mid level$7.6B raised
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come b…
Skills: Care coordination, Needs assessment, Care planning, Chronic health management, Discharge planning
Eden Prairie, Minnesota, United States · Remote OK
$60k–$107k/yr
Mid level$7.6B raised
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 c…
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 ca…
Skills: Data Analytics, Team Leadership, Power BI, Power Apps, Power Automate
Senior Manager Data Engineering - Eden Prairie, MN
Eden Prairie, Minnesota, United States · On-site
$113k–$193k/yr
Senior+$7.6B raised
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 ca…
Skills: Data engineering, SQL, Snowflake, Python, Data modeling
Per Diem Ambulatory Service Representative II - Kelsey-Seybold Clinic - Greater Heights
Houston, Texas, United States · On-site
$18/hr–$32/hr
Entry level$7.6B raised
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation’s leading health care organizations and build your career at one of our 40+ locations throughout Houst…
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 ca…
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 ca…
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 ca…
Nurse Practitioner or Physician Assistant - HouseCalls - Kent, Washington - Rhode Island
North Kingstown, Rhode Island, United States · Remote OK
$110k–$164k/yr
Mid level$7.6B raised
$40,000 Student Loan Repayment Or $20,000 Sign-on Bonus for External Candidates In this role, you will have the ability to achieve work life balance. Flexible scheduling is offered where providers can flex their time bet…
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise…
Explore opportunities with Community Loving Care Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are ded…
Skills: Spiritual care, Pastoral counseling, Hospice care, Interdisciplinary team collaboration, Crisis intervention
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come b…
Skills: Fraud Investigation, Claims Data Analysis, Interviewing, Documentation, Microsoft Excel
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 c…
Skills: Electrical maintenance, Mechanical systems, Data center operations, BMS, SCADA
Manager Pharmacy Infusion I - Cancer Services - Kelsey Seybold Clinics: North Houston
Houston, Texas, United States · On-site
$44/hr–$79/hr
Mid level$7.6B raised
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation’s leading health care organizations and build your career at one of our 40+ locations throughout Houst…
The role involves guiding the development of competitive provider networks and managing unit costs through financial modeling and strategic analysis. You will lead a high-performing team to achieve synergy targets and maintain strong client relationships within the network management function.
Requirements
Candidates must have over 10 years of management experience in network contracting and at least 8 years of experience in product pricing and financial modeling. Expert knowledge of medical reimbursement systems like RBRVS and DRGs is required, along with a proven track record in budget management.
Full job description
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
You've been building towards this. We've been building towards you. The health care system needs are evolving at a fast clip and innovators like UnitedHealth Group are playing a lead role. New models of care and new networks of providers are emerging now to better serve patients and communities. Here's where you come in. As a director 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 5 leader.
Primary Responsibilities:
Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
Develop and execute strategies for a function or discipline that span a large business unit or multiple markets/sites
Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency
Direct others to resolve business problems that affect multiple functions or disciplines
Direct work that impacts entire functions and/or customer accounts (internal or external)
This challenging, high-profile role will put your skills and experience to the test daily. You'll be charged with leading the efforts to achieve synergy targets through contracting with our network providers. In addition, you will lead the high-performing team that supports the UnitedHealthcare client relationship for network/provider management.
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:
10+ years of management experience in a network management-related role handling complex network providers with accountability for business results
8+ years of experience in developing of product pricing and utilizing financial modeling in making rate decisions
5+ years of experience developing and managing a medical cost and administrative budget
5+ years of experience with provider contracting
Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), Diagnosis Related Groups, Ambulatory Surgery Center Groupers, etc.
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 $159,300 - $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
Related keywords
Provider NetworkContractingUnit Cost ManagementFinancial ModelingNetwork PricingTrend ManagementMedical Cost BudgetingAdministrative BudgetingRBRVSDiagnosis Related GroupsAmbulatory Surgery Center GroupersHealthcareStrategic PlanningNetwork DevelopmentUnitedHealthcareManagement
UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences.
Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care.
We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care.
At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities.
Click below to search careers or join our social communities:
• Search & apply for careers at careers.unitedhealthgroup.com/
• Follow us on Twitter at twitter.com/UnitedHealthGrp
• Follow and like us on Facebook at facebook.com/unitedhealthgroup
• Follow us on Instagram at instagram.com/unitedhealthgroup
More about UnitedHealth Group can be found at unitedhealthgroup.com/
Offices: Eden Prairie , Minnesota, US · 2716 N Tenaya Way, Las Vegas, NV 89128, US · 4425 E Cotton Center Blvd, Phoenix, AZ 85040, US · 1900 E Golf Rd, Schaumburg, IL 60173, US · 8822 Three Chopt Rd, Henrico, VA 23229, US
Health CareWellness and Health ManagementRetiree Solutionsand Information TechnologyHospitalHealth CareWellnessBiotechnologyInsuranceLife Science
UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences.
Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care.
We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care.
At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities.
Click below to search careers or join our social communities:
• Search & apply for careers at careers.unitedhealthgroup.com/
• Follow us on Twitter at twitter.com/UnitedHealthGrp
• Follow and like us on Facebook at facebook.com/unitedhealthgroup
• Follow us on Instagram at instagram.com/unitedhealthgroup
More about UnitedHealth Group can be found at unitedhealthgroup.com/
Offices: Eden Prairie , Minnesota, US · 2716 N Tenaya Way, Las Vegas, NV 89128, US · 4425 E Cotton Center Blvd, Phoenix, AZ 85040, US · 1900 E Golf Rd, Schaumburg, IL 60173, US · 8822 Three Chopt Rd, Henrico, VA 23229, US
Health CareWellness and Health ManagementRetiree Solutionsand Information TechnologyHospitalHealth CareWellnessBiotechnologyInsuranceLife Science