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Manager, Network Contracting - San Antonio, TX

UnitedHealth Group


Location:
San Antonio, TX
Date:
01/19/2018
2018-01-192018-02-17
Job Code:
739888
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Job Details

739888 Manager Network Contracting San Antonio TX

Manager, Network Contracting - San Antonio, TX (739888)

Position Description

The health care system needs to evolve even further than it has and it has to do so at a lightning fast pace. New models of care and networks of providers are emerging now to better serve patients and communities. And at UnitedHealth Group, we are playing a lead role. Here’s where you come in. As a manager 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. In return, 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
  • Guide development of 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
  • Set team direction, resolve problems and provide guidance to members of your team
  • Influence and/or provide input to forecasting and planning activities

This role is all about challenge and relationships. You’ll partner with CEO's from various lines of business as we work on building effective relationships with large medical groups. 

Required Qualifications:

  • Undergraduate degree or equivalent experience
  • Minimum of 1 year of experience in a network management-related role handling complex network providers with accountability for business results
  • 2+ years of experience contributing to the development of product pricing and utilizing financial modeling in making rate decisions and managing a medical cost and administrative budget
  • At least an intermediate level of knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
  • 2+ years of experience with provider contracting
  • 3+ years of supervisory experience

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)

 


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.

 

 

Job Keywords: Healthcare, Contracting, Account Manager, Negotiation, Business Development, Manager, Consultant, health care

Job Details

  • Contest Number739888
  • Job TitleManager, Network Contracting - San Antonio, TX
  • Job FamilyNetwork Contracting and Pricing
  • Business SegmentOptumCare

Job Location Information

  • San Antonio, TX
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelManager
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusExempt

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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