Senior Healthcare Provider Network Contract Manager – AZ / NM

UnitedHealth Group
Published
September 8, 2021
Location
Atlanta, GA
Category
Job Type

Description

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

If you are located in Arizona or New Mexico you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Developing and maintaining relationships with key provider partners
  • 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
  • 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

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 5+ years of experience in a network management-related role handling complex network providers with accountability for business results
  • 5+ years of experience in the health care industry
  • 2+ years of 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.

Preferred Qualifications:

  • Undergraduate degree

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 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)

*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:  Senior Healthcare Provider Network Contract Manager, Senior Healthcare Provider Network Contract Manager, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote, AZ, Arizona, NM, New Mexico

Apply
Drop files here browse files ...

Related Jobs

Pets Hotel Associate   Marlton, NJ new
September 23, 2021
Pets Hotel Associate   Lawnside, NJ new
September 23, 2021
September 22, 2021
September 22, 2021

Author: