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 Director, Facility Contracting develops the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners. Facility Contracting Directors evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties. Primary responsibilities:Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiencyDemonstrate expertise in leading - edge theories, techniques and / or technologiesLead the development of new concepts, technologies and products to meet emerging customer requirementsIdentify and solve problems that impact the management and direction of the businessDevelop plans that impact the long - term success of the businessInfluence senior management decisions that impact business directionHas segment-wide and / or enterprise - wide impactDirect cross-functional and / or industry - wide teamsCritical Skills:
Required Qualifications:Bachelors degree or equivalent experience10+ years experience in a network management - related role handling complex network providers with accountability for business results5+ years experience with provider contracting5+ Supervisory experience Preferred Qualifications:8+ years experience in contributing to the development of product pricing and utilizing financial modeling in making rate decisions Expert level of knowledge reimbursement methodologies such as Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.10+ years experience in the health care industry UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. 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: Management, Healthcare, Facility Contracting, Contract Management, Healthcare Network Management, Contracting, Director, Negotiations, Network Composition, Minnetonka, MN, Minnesota
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.