Associate Director Of Network Programs - Remote - Remote Eligible

Caring. Connecting. Growing Together.

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.

You'll enjoy the flexibility to work remotely as you take on some tough challenges.

Primary Responsibilities:

• Provides leadership to and is accountable for the performance of managers and/or senior level professional staff.
• MGBHP Dedicated Senior Provider Relations Advocate
• Provider Relations Director and MA Provider Relations Advocates have a dotted line to Director of Network Programs
• Impact of work is most often at the operational or local business unit or market level
• Owns an end-to-end process
• Develops functional, market level, and/or site strategy, plans, production and/or organizational priorities
• Identifies and resolves technical, operational and organizational problems outside own team
• Develops innovative approaches
• Serves as key resource on complex/critical issues
• Lead functional or segment teams or projects

Tactical Responsibilities:

• MGBHP Network Point of Contact
• Project Manage CMR/MCE Bulletins that impact provider network
• Liaison between Pricing Integrity, Contracting, Onboarding and Provider Relations ensuring "pay as the state pays" alignment with MassHealth regulations
• Liaison between provider network and dedicated MA provider service line
• Liaison between provider network and MGBHP Account Management team
• Ensure Network Reporting set up and maintenance
• MGBHP benefit expansion initiatives
• Provider network readiness review
• Monitor emerging trends coming from provider-facing teams. Implement corrective action plans
• Establish and maintain MA specific Network policies and procedures to comply with regulatory and contractual requirements impacting provider network
• MGBHP Regulatory and Customer audit - provider network deliverables
• MGBHP QBR participant
• Oversee trade org relationships

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 provider relations experience
• 5+ years of supervisory level experience in a network management-related role handling complex network providers with accountability for business results
• 3+ years of experience with Medicare and Medicaid regulations
• Ability to call on Massachusetts (MA) Providers
• Intermediate level of knowledge of claims processing
• Demonstrated exceptional presentation, written and verbal communication skills
• Demonstrated proficiency in MS Word, PowerPoint, Excel, and Access
• Ability to travel up to 50%
• Driver's license and access to reliable transportation
• Dedicated, distraction-free workspace and access to high speed internet in home

All employees working remotely will be required to adhere to UnitedHealth 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 programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.