Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Network Program Manager is responsible for the successful program design, compliance with network requirements, network assessment and selection, and program/product implementation. This includes enterprise-wide Clinically Integrated Network teams that focus on specific clinical area Lines of Service (e.g., Cardiology, Women's Health, Oncology, etc.) to improve the quality and affordability through improvements in appropriateness and effectiveness. Network Program Managers may perform network analysis and strategy development and implementation; obtain data, verify validity of data, and analyze data as required, and analyze network availability and access. Other responsibilities may also include making recommendations regarding use, expansion, selection of networks for various products based on that analysis. Primary Responsibilities: Predict emerging customer needs and develop innovative solutions to meet themSolve unique and complex problems with broad impact on the businessParticipate in the development of business strategyDevelop and manage business plans to achieve objectivesLead large, complex projects to achieve key business objectivesTranslate highly complex concepts in ways that can be understood by a variety of audiencesInfluence senior leadership to adopt new ideas, products, and/or approachesMay have segment-wide impactDirect cross-functional and/or cross-segment teamsLiaison between the payer and the medical group
Required Qualifications: Undergraduate degree or equivalent experience5+ years' experience working with a managed care organization, health insurer, or consultant in a network management/contract management role, such as contracting, provider services, etc.5+ years' experience in data analysis1+ years project management or project lead experienceProficiency with all physician/facility / ancillary contract reimbursement methodologies1+ years' experience working with claims systems2+ years' experience with facility / ancillary contact loading and auditing including contract submission, validation and maintenanceIntermediate level of proficiency in MS Office (Excel and PowerPoint)Preferred Qualifications: Post-graduate degreeAbility to convey complex or technical information in a manner that others can understandExcellent communication skills, including ability to communicate effectively with various levels of leadershipCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to 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: Network program manager, data analysis, project management, claims systems, West Valley City, UT, Utah
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.