Vice-President of Network Strategy for Government Programs - Central Region
Location: Minneapolis Minnesota
Description: UnitedHealth Group is at present recruited Vice-President of Network Strategy for Government Programs - Central Region right now, this job will be placed in Minnesota. Further informations about this job opportunity please read the description below. 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 Vice-President of Network Strategy for Government Programs develops the overall provider network strategies (Medicaid, M! edicare, Tricare) yielding a geographically competitive networ! k from both a cost and access perspective, and produces an affordable and predictable product for customers and business partners. The Vice-President of Network Strategy for Government Programs evaluates and negotiates contracts in some instances and in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong internal business relationships as well as relationships with Medicaid, Medicare, and Tricare network providers.
In this role you will be expected to:
- Act as Liaison and Lead the Central Region to drive network strategies for Government Programs.
- Develop, translate and execute strategies or functional/operational objectives for a region, line of business, or major portion of a business segment functional area.
- Apply network configuration and incentive-based payment models as appropriate to improve quality! and efficiency.
- Direct others to resolve highly complex or unusual business problems that affect major functions or disciplines.
- Drive programs that impact markets of customers and consumers. - Provides leadership to and is accountable for the performance and results through multiple layers of management and senior level professional staff.
- Impact of work is most often at the regional (e.g. multi-state) level, or is responsible for a major portion of a business segment, functional area or line of business.
- About 50% travel may be required for the role. Requirements:
- Undergraduate degree or equivalent experience.
- 10+ years of experience in a network management-related role handling complex network providers with accountability for business results.
- 10+ years of experience in the health care industry, specifically with Government programs like Medicaid, Medicare, and Tricare.
- 8+ years of experience in ut! ilizing financial modeling in making decisions
- 5+ years of exp! erience developing and managing a medical cost and administrative budget
- Expert level of knowledge of Medicare reimbursement methodologies such as Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc. as well as Medicaid state rates.
- 5+ years of experience with provider contracting.
- 5+ years of management experience.
- Strong customer service skills.
- Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others, including but not limited to reimbursement policy standards.
- Strong interpersonal skills, establishing rapport and working well with others.
UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:
UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.
UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.
UnitedHealthcare Community & S! tate provides high-quality, personalized, public-sector health care pro! grams that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.
Together, we're removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.
Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to UnitedHealth Group.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Thu, 12 Dec 2013 07:03:19 GMT
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