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Healthcare Provider Network Contractor - Leased Networks - Multiple Locations

UnitedHealth Group


Location:
Minnetonka, MN
Date:
12/12/2017
2017-12-122018-01-10
Job Code:
739236
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Job Details

739236 Healthcare Provider Network Contractor Leased Networks Multiple Locations

Healthcare Provider Network Contractor - Leased Networks - Multiple Locations (739236)

Position Description

You get it. Everyone gets it. The health care system needs to evolve even further than it has and it has to do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here’s where you come in. As member of our network contracting team, you’ll help develop and support Provider Networks and guide unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you’ll discover the impact you want and the resources, backing and opportunities that you’d expect from a Fortune 6 leader.

Primary Responsibilities

  • Manage unit cost budgets, target setting, performance reporting and associated financial models
  • Predict emerging customer needs and develop innovative solutions to meet them
  • Help develop geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
  • Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, and other key process controls
  • Ensure that network composition includes an appropriate distribution of provider specialties

Get ready for a high impact role. You’ll be tasked with working in conjunction with our national clinics and hospitals to manage, collect and analyze provider data, updating and loading provider data and resolving any escalated issues with the clients.

 

Required Qualifications:

  • Undergraduate degree or equivalent experience
  • 3+ years of experience in a network management-related role, such as contracting or provider services
  • In-depth knowledge of Medicare reimbursement methodologies, i.e. Resource Based Relative Value System (RBRVS)
  • 2+ years of experience in fee schedule development and methodologies
  • 2+ years of experience or knowledge of financial models and analysis in negotiating rates with providers
  • At least an intermediate level of knowledge of claims processing systems and guidelines

Preferred Qualifications:

  • Experience with utilizing/knowledge of actuarial models
  • Experience in performing network adequacy analysis
  • 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
  • Strong interpersonal skills, including establishing rapport and working well with others
    Intermediate level of experience with Microsoft products
  • Strong customer service skills

Creating and fine tuning provider networks helps improve access to health care for millions. It’s an outstanding opportunity to have more meaning and purpose in your career. Join us. Find out how you can start doing your life’s best work.SM

 

Job keywords: Healthcare, health care, Contracting, Account Manager, Negotiation, Business Development, Minnetonka, MN, Minnesota, Cypress, CA, California

Job Details

  • Contest Number739236
  • Job TitleHealthcare Provider Network Contractor - Leased Networks - Multiple Locations
  • Job FamilyNetwork Contracting and Pricing
  • Business SegmentUnitedHealthcare Networks

Job Location Information

  • Minnetonka, MN
    United States
    North America
  • Other LocationsCypress, CA

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionYes
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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