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Network Implementation Manager, Behavioral Health - Telecommute

UnitedHealth Group

Plano, TX
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Job Details

751704 Network Implementation Manager Behavioral Health Telecommute

Network Implementation Manager, Behavioral Health - Telecommute (751704)

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 Implementation Manager, Behavioral Health project-manages the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners. In addition, Network Implementation Managers will oversee any new business-specific information such as processes and procedures (P&P’s), provider readiness and provider education.  The ideal candidate should be able to project manage the above items in order to on-board new business across behavioral health segments.


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

Primary Responsibilities:
  • Anticipate customer needs and proactively develops solutions to meet them
  • Serve as a key resource on complex and/or critical issues
  • Solve complex problems and develop innovative solutions
  • Perform complex conceptual analyses
  • Reviews work performed by others and provides recommendations for improvement
  • Forecast and plan resource requirements
  • Authorize deviations from standards
  • May lead functional or segment teams or projects
  • Provide explanations and information to others on the most complex issues
  • Motivate and inspire other team members
Required Qualifications:
  • Undergraduate degree
  • 4+ years’ experience in a network management-related role, such as contracting or provider services
  • Intermediate level of proficiency with all facility / ancillary contract reimbursement methodologies
  • Demonstrated knowledge of business processes that impact facility/ancillary contact loading and auditing
  • At least an intermediate proficiency in MS Office (Excel, Access and PowerPoint)
  • Previous experience with project management
Preferred Qualifications:
  • In-depth knowledge of Medicare reimbursement methodologies, i.e. Resource Based Relative Value System (RBRVS)
  • Experience in performing network adequacy analysis
  • Experience utilizing financial models and analysis in negotiating rates with providers
  • Excellent communication skills required including ability to communicate effectively with various levels of leadership
  • Strong customer service skills
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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: provider, network, implementation, contract, provider services, project management, behavioral health, telecommute

Job Details

  • Contest Number751704
  • Job TitleNetwork Implementation Manager, Behavioral Health - Telecommute
  • Job FamilyNetwork Contracting and Pricing
  • Business SegmentOptum Consumer Solutions Group

Job Location Information

  • Plano, TX
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 25 % of the Time
  • Telecommuter PositionYes
  • 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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