Manager, Network Programs - Remote in Nebraska at UnitedHealth Group

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 neededEnsure United Healthcare Networks partners understand UHCS requirements and commitments in state contracts through collaboration with UHN and UHCS leadershipAdapt departmental plans and priorities to address business and operational challengesInfluence or provide input to Health Plan forecasting and planning activitiesProduct, 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 resolutionAssist with monthly and quarterly State reports as neededOrganize and deliver all provider education, communications, and outreach initiativesManage Association relationships. Develop and maintain partnerships with community-based organizations, healthcare providers, faith-based groups, and local agenciesOrganize and participate in outreach events, health fairs, and educational workshops to promote Medicaid services and member engagementDevelop strategies to support consumer/member innovation, support new product and program launches, and combat competitive pressuresDevelop and deliver presentations for key provider meetings throughout the yearDevelop and deliver provider training as needed including Network Bulletins and other collateralIdentify operational issues and seek assistance from appropriate functional areas for resolutionMaintain PR SharePoint site used for tracking outreach initiativesDevelop and maintain databases used for outreach, surveys, trackingProvide on-boarding and orientation to new providers (e.g., ensure providers take on-line training; provide instruction on processesWorks with compliance to obtain necessary State Regulatory Agency approvals for member and provider materialsYou'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 experience5+ years of professional Word, PowerPoint, and Excel5+ years of experience with Medicare and Medicaid regulations5+ years of experience with Medicare and Medicaid regulations3+ years of management experience, hiring, team/project leadership or mentoringGeneral level of knowledge of claims/systems processes, contracting and reimbursement methodologiesAbility to understand the challenges providers face and provide appropriate solutions as neededAbility to travel across the State of NE as neededPreferred Qualifications:Proven ability to work independently and remain on taskProven ability to prioritize and meet deadlines from multi-staff members within the departmentProven good organization and planning skillsProven exceptional presentation, written and verbal communication skills*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter PolicyPay 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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 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.