Regional Director Network Contracting, Central Region - Remote

Location: Shawnee Mission

Job d:

Location:

Overland Park, Kansas, United States Salary: $112,700 - $193,200/year

Job Area:
Network Contracting & Pricing Company:
United Health Group 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 care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities.

Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Regional Director will lead Provider Relations Advocates across the Central Region (IN, MN, MO, ND, SD, & TX) with responsibility for enhancing the provider experience, strengthening key stakeholder and market relationships, and overseeing network initiatives across Illinois, Iowa, and Wisconsin. The role will partner closely with leaders across Community & State, Employer & Individual, and Medicare & Retirement sectors to drive provider satisfaction, support network development, and ensure successful execution of regional priorities.

You'll enjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Provides leadership to and is accountable for the performance of Contract Managers and senior level professional staff

Guide development of geographically competitive, broad access, stable Commercial, Medicare and Medicaid networks that meet Adequacy and Access standards, client expectations and achieve objectives for unit cost performance and trend management

Evaluate current contract performance to identify potential remediation opportunities and/or cost savings

Review and develop contract language to assess financial and operational impact and legal implications of new or requested contract changes

Develop and execute strategies for successful new products, implementations/expansions and recruitment initiatives required to meet network adequacy and access standards

Work closely with the SWAT Contracting Team, Provider Relations Team and Project Managers to assure network goals are metWork most often impacts a large business unit, or multiple markets/sites/customers

Direct and support others to resolve business problems that affect multiple functions or disciplines

Direct work that impacts entire functions and/or customer accounts (internal and external)
Clearly communicate status of large network development and contracting initiatives to internal and external customers

Develop Payment Appendices as needed to support business rate strategy

Create a team environment that is compassionate, supportive, inclusive, collaborative, curious and goal/performance driven

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:

5+ years of management experience in a network contract management-related role handling complex network provider contracts, recruitment, and negotiations with accountability for business results5+ years of experience developing product pricing and utilizing financial modeling and data analytics in making rate decisions5+ years of experience developing and managing a medical cost and administrative budget5+ years of experience with Group, Agency and Facility contracting, contract strategy, rate methodologies, contract language and terms of agreement

Knowledge of Sales Force and Excel

Preferred Qualifications:

Behavioral Health contracting experience

Medicaid, Medicare Advantage and Commercial Contracting for Behavioral Health Facility and OP/Professional Contract Negotiations Experience reviewing and providing alternative contract language

Exceptional understanding of Medicaid pricing, Medicare pricing and CMS relativity

Clear and Effective Communicator both Verbal & Written
* All employees working remotely will be required to adhere to United Health Group's Telecommuter Policy.

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…