Associate Director, Network Contracting - Virtual / Telehealth at UnitedHealth Group in Minnetonka, MN

Job description

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 optimized. Ready to make a difference? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together. You've been working your way to this unique opportunity in the rapidly growing virtual care and telehealth space for some time now. Now that you've learned to lead and build a deep expertise in health care network contracting and operations, it is time to set your sights on having more impact in more ways. Join our leadership team and help UnitedHealth Group meet the challenge of shaping the virtual care networks. As a leader within our network contracting team, you'll help to guide the development and support of the rapidly expanding virtual provider networks and strategy as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll find that you can make a real impact while enjoying the resources, backing and opportunities that you'd expect from a Fortune 6 leader. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Develop strategies for virtual provider networks that drive value and meet LOB needs to include a process to stay in front of new innovations, technologies or devices that affect the way care is delivered and how we may contract with these providers Establishes strong strategic relationships with Virtual Care providers and ensures network composition reflects line of business needs, market priorities, specialty distribution, access requirements, and emerging virtual care trends Develop and manage the National virtual care provider network to deliver geographically competitive access, broad specialty and primary care coverage, network stability, unit cost performance, trend management, and affordable, predictable solutions for customers and business partners Evaluates, negotiates, implements, and manages contracts in compliance with company templates, reimbursement standards, and key process controls Specific Accountabilities: Work collaboratively with all lines of business to assess on-going needs for virtual care categories that drive member experience, affordability and quality Establish a rigorous provider vetting process with input from experts across Clinical, technology, policy, operations and the lines of business In collaboration with other functional areas, develop criteria and performance standards for virtual only providers - define safety and quality metrics and ensure ongoing performance monitoring Fine-tune pre-contractual checklist and process that expedite the timelines - ensure contracts include performance expectations, data sharing beyond claims Negotiate, implement and manage National Virtual Care contracts for all Lines of Business Collaborate and coordinate with the National Physician strategy team, Region leads and market network leads on local virtual care strategies and issues Lead the Governance Council in collaboration with the National Physician Team Align with clinical and policy teams to stay abreast of new innovations, technology, and/or devices in virtual care services that may affect codes and contracts Develop reporting dashboard to monitor performance for virtual care providers Develop and manage the growing virtual/telehealth offerings which include program design and network strategy at an enterprise level to improve quality and affordability Manage unit cost budgets, target setting, performance reporting and associated financial models Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency Lead t