Associate Director, Network Contracting - Virtual / Telehealth

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 the development of new concepts, technologies and products to meet emerging customer requirements
• Respond to and get in front of rapidly emerging trends with Virtual and Telehealth providers innovating in this space
• Direct cross-functional and/or industry-wide teams with segment-wide and/or enterprise-wide impact
• Influence senior management decisions that impact business direction

Ready for a challenge? You will need all your leadership skills and creativity as you manage and develop this unique space within provider networks that achieve performance objectives. As a result, there is a high level of visibility and accountability for results.

Other Scope and Accountabilities and experience required:

• Company thought leader
• Functional SME
• Broad business approach
• Must have experience with virtual product and/or virtual contracting
• Resource to senior leadership
• Develops pioneering approaches to emerging industry trends
• Predicts emerging customer needs and develops innovative solutions to meet them
• Solves unique and complex problems with broad impact on the business
• Participates in the development of business strategy
• Develops and manages business plans to achieve objectives
• Leads large, complex projects to achieve key business objectives
• Translates highly complex concepts in ways that can be understood by a variety of audiences
• Influences senior leadership to adopt new ideas, products, and/or approaches

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:

• 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
• 8+ years experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions
• In-depth knowledge of Physician contracting and State and Federal telehealth requirements

Preferred Qualifications:

• 5+ years of experience with provider contracting in the virtual care or telehealth space
• Demonstrated strong Program Management experience

*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). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 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.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.