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***Sr Network Manager - Virginia

UnitedHealth Group


Location:
Richmond, VA
Date:
03/24/2017
Job Code:
1730447
Apply on the Company Site
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Job Details


***Sr Network Manager - Virginia(Job Number:706795)
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 Sr. Network Manager is responsible for the full range of provider relations and service interactions within UnitedHealth Group, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. Sr. Network Managers design and implement programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Responsibilities also include directing and implementing strategies relating to the development and management of a provider network, identifying gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims. This position will be responsible for ensuring network adequacy specific to the Commonwealth of Virginia's Managed Long Term Services and Supports Requirements. This position will be involved in the recruitment and network establishment for ARTS providers.

Primary Responsibilities:

  • Assess and interpret customer needs and requirements
  • Identify solutions to non-standard requests and problems
  • Solve moderately complex problems and / or conduct moderately complex analyses
  • Work with minimal guidance; seek guidance on only the most complex tasks
  • Translate concepts into practice
  • Provide explanations and information to others on difficult issues
  • Coach, provide feedback, and guide others
  • Act as a resource for others with less experience
  • Ability to work independently and remain on task
  • Good organization and planning skills
  • Ability to prioritize and meet deadlines from multi-staff members within the department

Job Provider Relations and Service
Primary Location US-VA-Richmond
Other Location 
Organization Behavioral Sol - Public Sector
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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