You get it. Everyone gets it. The health care system needs to evolve even further than it has, and it must do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here's where you come in. As member of our network contracting team, you'll help develop and support Provider Networks and guide 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 4 leader.
Want to make an impact in providing access to quality care and services for those who need it most? As member of our network contracting team, you'll help develop and support Provider Networks, ensuring those who need care are able to do so. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 4 leader.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:- Manage contracting efforts for network expansion projects
- Predict emerging customer needs and develop innovative solutions to meet them
- Help develop geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
- Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, and other key process controls
- Ensure that network composition includes an appropriate distribution of provider specialties
- Respond to the needs of the network as it relates to the contract
Get ready to learn and grow in a high impact role. You'll be tasked with working with our ancillary providers to manage, collect and analyze provider data, updating and loading provider data, and resolving any escalated issues with the clients.
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:- 3+ years of experience in a network management-related role, such as contracting or provider services
- 2+ years of experience using financial models and analysis to negotiate rates with providers
- Proven experience with provider contracting
- Intermediate experience using MS Word, MS Excel
Preferred Qualifications:- Experience using financial models and analysis to negotiate rates with providers
- Experience in performing network adequacy analysis
- Intermediate understanding of payment methodologies for all provider types
- Basic knowledge of Medicare and Medicaid
- Basic level of knowledge of claims processing systems and guidelines
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
