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Network Program Manager - West Valley City, UT

UnitedHealth Group


Location:
West Valley City, UT
Date:
02/16/2018
2018-02-162018-03-17
Job Code:
751206
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Job Details

751206 Network Program Manager West Valley City UT

Network Program Manager - West Valley City, UT (751206)

Position Description

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best.  This specialist role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We’re driving ever higher levels of sophistication in how provider networks are composed and compensated. Your expertise in provider networks can help us build in the next phase of evolution. In this managerial role, you’ll use your knowledge and analytical skills to help determine how clinical providers group up by specialty and service line. As you do, you’ll discover the resources, backing and opportunities that you’d expect from a Fortune 6 leader.  
 
Primary Responsibilities:
  • Participate in the development of business strategy
  • Direct cross-functional and/or cross-segment teams to develop enterprise-wide Clinically Integrated Networks focused on specific clinical areas/service lines such as oncology or cardiology
  • Oversee network analysis and strategy development and implementation
  • Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness
  • Ensure teams are obtaining, validating and analyzing data impacting network availability and access
  • Solve unique and complex problems with broad impact on the business
This role will challenge you to bring your best. This is a fast-paced, intense and performance focused environment where you’ll be managing a portfolio of projects, tracking and communicating change and ensuring high levels of employee engagement.
Required Qualifications:
  • 5+ years’ experience working with a managed care organization or health insurer; or as a consultant in a network/contract management role, such as contracting, provider services, etc.
  • 2+ years’ experience in data analysis
  • 2+ years project management or project lead experience
  • 2+ years’ experience in physician/facility/ancillary contract reimbursement methodologies
  • 2+ years’ experience working with claims systems
  • At least an intermediate level of proficiency with MS Office suite (including Excel)
Preferred Qualifications:
  • Experience with facility/ancillary contact loading and auditing including contract submission, validation and maintenance
Building diverse, high quality provider networks is creating greater access to health care and improving the lives of millions.  Join us.  Learn more about how you can start doing 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: health care, provider network, network management, analysis, strategy, quality, primary care, PCP, RAF, HEDIS, West Valley City, Salt Lake City, Utah, UT

Job Details

  • Contest Number751206
  • Job TitleNetwork Program Manager - West Valley City, UT
  • Job FamilyNetwork Management
  • Business SegmentOptumCare

Job Location Information

  • West Valley City, UT
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 75 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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