Associate Director, Healthcare Provider Network Contracting - Tri-State Area

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

The time has come to raise your game and help us raise ours. You've learned to lead. You've built a deep expertise in health care network operations. You've set your sights on having more impact in more ways. Now it's time to join our leadership team and help UnitedHealth Group meet the challenge of shaping where health care will go. As an Associate Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader.

If you are located within the states of NY, CT or NJ, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Coordinate/facilitate internal and external provider JOC meetings


• Ensure teams are obtaining, validating and analyzing data impacting key provider relationships


• Drive, design and implementation programs to improve quality and affordability through improvements to key provider relationships


• Manage functional, market level and/or site strategy, plans, production and/or organizational priorities


• Collaborate with providers and other partnering departments to implement contractual requirements


• Navigate various system utilities necessary to effectively execute daily tasks


• Adapt departmental plans and priorities to address business and operational challenges


• Identify and resolve technical, operational and organizational problems


• Serve as a key resource by providing explanations and information to others on complex and / or critical issues


• Solve complex problems and develop innovative solutions


• Motivate and inspire other team members


• Maintain active relationships with UHN and network strategy functional areas to support continuous improvement of end-to-end processes and provider data quality of products


• Maintain working documentation on provider data, to include progress, risks, and milestones met

Are you ready to put your skills to the test? In this high-impact role, you will need to be a strong leader and have the proven ability to establish trust and build relationships with leaders and experts across an organization.

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 experience working with a managed care organization or health insurer; or as a consultant in a network/contract management role, such as contracting, provider services, etc.


• 3+ years of experience in successfully leading multiple projects


• 2+ years of experience in a network management-related role handling complex network providers with accountability for business results


• 2+ years of experience utilizing financial modeling in making rate decisions


• Knowledge of business operation processes that impact providers


• Excellent communication skills required including ability to communicate effectively with various levels of leadership

Preferred Qualifications:

• Undergraduate degree or equivalent experience


• 2+ years of experience with provider contracting


• Proficiency with all facility/ancillary contract reimbursement methodologies


• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

Connecticut Residents Only: The salary range for Connecticut residents is $97,300 to $176,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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.

Recommended Skills

• Business Process Improvement
• Communication
• Contract Management
• Data Quality
• Financial Modeling
• Insurance Management And Aftercare