Sign In
 [New User? Sign Up]
Mobile Version

Sr. Network Contract Manager - Atlanta, GA

UnitedHealth Group


Location:
Norcross, GA
Date:
02/16/2018
2018-02-162018-03-17
Job Code:
744556
Apply on the Company Site
  •  
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details

744556 Sr Network Contract Manager Atlanta GA

Sr. Network Contract Manager - Atlanta, GA (744556)

Position Description

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This leadership role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. 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. 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: 

  • Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance, trend management and appropriate distribution of provider specialties
  • Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
  • Review work performed by others and provide recommendations for improvement
  • Forecast and plan resource requirements
  • Authorize deviations from standards

In this role, you will need to be able to thrive in a demanding, intense, fast-paced environment. In addition, you'll be driving some complex negotiations while striving to ensure accuracy.

 

This role is ideally located in Atlanta, GA. Locations near to Atlanta may be considered.



Required Qualifications:

  • 5+ years of experience in a network management-related role, such as contracting or provider services
  • In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
  • 4+ years of experience using financial models and analysis to negotiate rates with providers
  • At least an Intermediate level of proficiency with MS Excel

 

Preferred Qualifications:

 

  • Intermediate level of knowledge of claims processing systems and guidelines
  • 3+ years of experience in performing network adequacy analysis
  • 3+ years of experience in fee schedule development using actuarial models
  • Undergraduate degree

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

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do 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: Network Contract Manager, Sr. Network Contract Manager, Physician Contract Manager, Norcross, GA, Georgia

Job Details

  • Contest Number744556
  • Job TitleSr. Network Contract Manager - Atlanta, GA
  • Job FamilyNetwork Contracting and Pricing
  • Business SegmentUnitedHealthcare Networks

Job Location Information

  • Norcross, GA
    United States
    North America
  • Other LocationsAtlanta, GA

Additional Job Detail Information

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

Powered ByLogo

Featured Jobs[ View All ]

Featured Employers [ View All ]