Manager, Network Programs - Remote In Nebraska - Remote Eligible

Manager of Network Programs

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing Together.

The Manager of Network Programs is responsible for the full range of provider network interactions within UnitedHealth Group, including ease of use of physician portal and future service enhancements, and training & development of external provider education programs. Design and implement programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Responsibilities also include directing and implementing strategies to communicate needs to internal stakeholders in order to drive creation of solutions that meet our mutual business goals, developing resources and programs to assist and educate providers (e.g., web-based training; FAQ document), and may also be involved in identifying and remediating operational short-falls and researching and remediating claims.

If you reside in Nebraska, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Provides assistance with project management or problem solving related to UHCS products and services as needed
• Ensure United Healthcare Networks partners understand UHCS requirements and commitments in state contracts through collaboration with UHN and UHCS leadership
• Adapt departmental plans and priorities to address business and operational challenges
• Influence or provide input to Health Plan forecasting and planning activities
• Product, service or process decisions are most likely to impact multiple groups of employees and/or customers (internal or external)
• Track and trend provider issues and concerns and elevate within UHN and C&S for resolution
• Assist with monthly and quarterly State reports as needed
• Organize and deliver all provider education, communications, and outreach initiatives
• Manage Association relationships. Develop and maintain partnerships with community-based organizations, healthcare providers, faith-based groups, and local agencies
• Organize and participate in outreach events, health fairs, and educational workshops to promote Medicaid services and member engagement
• Develop strategies to support consumer/member innovation, support new product and program launches, and combat competitive pressures
• Develop and deliver presentations for key provider meetings throughout the year
• Develop and deliver provider training as needed including Network Bulletins and other collateral
• Identify operational issues and seek assistance from appropriate functional areas for resolution
• Maintain PR SharePoint site used for tracking outreach initiatives
• Develop and maintain databases used for outreach, surveys, tracking
• Provide on-boarding and orientation to new providers (e.g., ensure providers take on-line training; provide instruction on processes
• Works with compliance to obtain necessary State Regulatory Agency approvals for member and provider materials

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 and/or network management experience
• 5+ years of professional Word, PowerPoint, and Excel
• 5+ years of experience with Medicare and Medicaid regulations
• 3+ years of management experience, hiring, team/project leadership or mentoring
• General level of knowledge of claims/systems processes, contracting and reimbursement methodologies
• Ability to understand the challenges providers face and provide appropriate solutions as needed
• Ability to travel across the State of NE as needed

Preferred Qualifications:

• Proven ability to work independently and remain on task
• Proven ability to prioritize and meet deadlines from multi-staff members within the department
• Proven good organization and planning skills
• Proven exceptional presentation, written and verbal communication skills

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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.