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Sr. Network Contract Manager, Hospitals - Miramar, FL

UnitedHealth Group


Location:
Miramar, FL
Date:
12/12/2017
2017-12-122018-01-10
Job Code:
741095
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Job Details

741095 Sr Network Contract Manager Hospitals Miramar FL

Sr. Network Contract Manager, Hospitals - Miramar, FL (741095)

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.

 

Success in this role will require the ability to establish and maintain strong relationships with Hospital, Physician, Pharmacy, and Ancillary providers. This role supports and contracts with the Hospitals in South Florida for all lines of business. The role is office based in Miramar, FL.

 

Primary Responsibilities:

 

  • Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
  • Build and maintain strong relationships with Providers in the market
  • 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, trend management and appropriate distribution of provider specialties
  • 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.

Required Qualifications:

  • 5+ years of experience in a network management-related role handling complex network providers with accountability for business results
  • 4+ years experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions
  • In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
  • An Intermediate or higher level of proficiency with MS Excel

 

Preferred Qualifications:

  • Previous experience with providers in the South Florida market
  • Demonstrated ability to build and sustain effective relationships both internally and externally
  • Undergraduate or higher level 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: Provider Network Contract Manager, Provider Network Contractor, Network Contracting - Hospitals, Hospital Network Contractor, Miramar, FL, Florida

Job Details

  • Contest Number741095
  • Job TitleSr. Network Contract Manager, Hospitals - Miramar, FL
  • Job FamilyNetwork Contracting and Pricing
  • Business SegmentUnitedHealthcare Networks

Job Location Information

  • Miramar, FL
    United States
    North America

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.

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