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Director Network Programs

3 months ago

Eden Prairie, Minnesota, United States Optum Full time

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Director, Network Programs, will have responsibility for managing, strategizing, and negotiating National and Regional Facility, Ancillary and Physician Agreements on behalf of Optum Health Networks. It is expected that the spend of these national agreements will contribute meaningfully to the affordability outcomes for Optum Health Networks. This role will work closely with the leaders of every market in Optum Health relative to a negotiation strategy and prioritization of the agreements each year. The outcomes of this work will directly impact the network strategy of every market as well as the affordability outcomes of each market. This role will negotiate contracts in compliance with Optum Health Network contracting templates, rate structure and methodology, and other key operating principles foundational to our organization.

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

Primary Responsibilities:

  • Execute on the national agreement strategy for Optum Health Networks
  • Maintain an inventory of all national agreements that exist today and those that should exist for the future
  • Have a keen understanding of competitors and competitor positions on negotiation strategy for large negotiations
  • Directly negotiate national agreements on behalf of OHN and the markets
  • Adhere to Unit Cost Controls and broader medical cost management for both Government and Commercial business
  • Contribute to the development of our Payment Appendix strategy for all lines of business for all contract types that promote the success of value-based risk agreements
  • Contribute to the development of our Incentive Appendix strategy for all lines of business for all contract types that promote the success of value-based risk agreements
  • Establish meaningful leadership partnerships with the markets to develop and execute the negotiation game plans that best position all markets for success
  • Interact closely with Optum Health Clinical Performance, Health Care Economics, Optum Health Operations, Optum Health Finance, and Optum Health Senior Staff to achieve agreement on approach and negotiation outcomes for all deals
  • Provide leadership to inspire teams, motivate teams for engagement, productivity, values, and performance
  • Drive improved NPS in partnership with the NPS team
  • Drive consensus and clarity around vision, value, and strategy

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:

  • 10+ years of progressively more responsible health care administration experience
  • 10+ years of demonstrated large scale network contracting experience success
  • 5+ years of experience in a leadership role
  • Advanced and demonstrated strategic thinking and planning expertise
  • Relationship building experience, including experience developing relationships at an Executive Leadership within Optum Health
  • Demonstrated broad-scope financial expertise
  • Experience building business cases for initiatives and developing the right conclusions to support the development of national contract strategies
  • Experience building relationships cross-functionally and leading toward common goals
  • Solid communicator evidence by capable of effectively presenting ideas and selling concepts and tactics; excellent writer; proven ability to communicate effectively with executive-levels; ability to quickly understand needs and act on those needs; ability to conceptualize and effectuate change management and "out-of-the-box" thinking

Preferred Qualifications:

  • 5+ years of capitation/risk network contracting experience
  • Managed care experience

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $147,300 to $282,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.