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 Salt Lake County Behavioral Network Director develops the provider network (physicians, provider groups and hospitals) 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. Network 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, Physicians and Providers and ensuring the network composition includes an appropriate distribution of provider specialties. Position supports the Optum Salt Lake County Medicaid Behavioral Health Plan and is accountable for provider relations, recruitment and contracting. Additional responsibilities include handling escalated provider issues including, provider portal engagement and provider education. Primary Responsibilities: Set team direction, resolve problems and provide guidance to members of own team May oversee work activities of other supervisors Adapt departmental plans and priorities to address business and operational challenges Influence or provide input to forecasting and planning activities
Required Qualifications: Undergraduate degree or equivalent experience 5+ years' experience in a network management - related role handling complex network providers with accountability for business results 5+ years of experience working with State Medicaid Programs 5+ years' experience in the health care industry 2+ years' experience managing a medical cost and administrative budget 2+ years' experience with provider contracting 1+ years of supervisory experiencePreferred Qualifications: Experience with Salt Lake County Medicaid ProgramCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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: provider relations, provider contracting, provider engagement, provider education, Medicaid, Salt Lake county Medicaid, behavioral health, healthcare, network management, Franklin, Nashville, TN, Tennessee
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.