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Network Contractor - Eden Prairie, MN or Telecommute

UnitedHealth Group


Location:
Eden Prairie, MN
Date:
02/16/2018
2018-02-162018-03-17
Job Code:
748734
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Job Details

748734 Network Contractor Eden Prairie MN or Telecommute

Network Contractor - Eden Prairie, MN or Telecommute (748734)

Position Description

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)

 

The Network Contractor is responsible for managing administrative tasks aligned with the contracting process, as well as providing internal support. The Network Contractor will create contracts, support critical reviews to ensure demographic, credentialing and contract accuracy prior to submission. The Network Contractor will play an active role through the load and audit process with all applicable contract loading teams, as well as be accountable to review audit results and participate in post installation. The Network Contractor will also be accountable to manage and submit all daily and mass state Rate updates to all applicable contract loading teams on behalf of Network Management.

 

They will also be a key resource for addressing questions regarding contract language, contract set-up, payment methodology and other processes.

 

Attention to detail, problem solving, and establishing and maintaining strong business relationships are crucial for success in this role.

 

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

 

Primary Responsibilities:

  • Build and maintain relationships with Optum regional sites and contract loading teams to ensure results are obtained and maintained
  • Manage SNF contracts, including validation of demographics, credentialing, and system accuracy prior to installation in applicable systems
  • Coordinate with quality audit team both pre- and post-implementation to ensure accuracy of contract loading and claim payment accuracy based on contract intent
  • Minimize contracting and claim rework associated with incorrect SNF contract set up
  • Experience with Medicare, Commercial, and Medicaid  will be of value in this role
  • Any other projects or duties as assigned
  • Use pertinent data and facts to identify and solve a range of problems within area of expertise
  • Prioritize and organize own work to meet deadlines

Required Qualifications:

  • 3+ years of experience in a network data management related role in a managed care environment, such as contracting or provider data analysis
  • Experience using NDB
  • Intermediate proficiency with MS Office suite, including Word and Excel
  • Excellent verbal and written communication skills; Ability to convey complex or technical information in a manner that others can understand, as well as the ability to understand and interpret complex information form others
  • Strong interpersonal skills, establishing rapport, and working well with others
  • Strong customer service skills

Preferred Qualifications:

  • Knowledge of claims processing systems and guidelines
  • Cosmos and/or CSP Facets and Emptoris
  • 2+ years of experience working with reporting tools and generating effective reports
  • 2+ years of experience with claims processing, resolution, or recovery

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.(sm)

 

*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.

 

 

Job keywords: claims processing, NDB, Eden Prairie, MN, Minnesota, telecommute

Job Details

  • Contest Number748734
  • Job TitleNetwork Contractor - Eden Prairie, MN or Telecommute
  • Job FamilyNetwork Contracting and Pricing
  • Business SegmentOptumCare

Job Location Information

  • Eden Prairie, MN
    United States
    North America
  • Other LocationsEden Prairie, MN

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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