18 days old

Contract Management Expert - Phoenix, AZ

Phoenix, AZ 85003
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Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

The purpose of this job is to partner with Network and Operations through the contract creation, execution, submission, load, audit and test of facility and ancillary contracts including fee schedules to ensure contract accuracy prior to submission.  The Contract Management Expert (CME) will play an active role in supporting critical audits to clarify contract intent and remediation efforts.  The CME will also be accountable to manage and submit all contract updates & requirements to Operations on behalf of the Network.
Individuals in this role will be directly accountable for the quality and accuracy of hospital/ancillary contract submissions.  This role will also ensure minimal to no rework associated with requirements and intent of the contract through the submission process. 

Primary Responsibilities:
  • Manage all hospital/ancillary contracts supported by the Network
  • Manage contract maintenance including tracking, calculation of adjustments, creation of payment appendices to support the change, working directly with Healthcare Economics and Operations for review, approval and submission of the contract for installation to systems
  • Assist with audits and other quality controls for proactive identification of issues
  • Validate contracts before execution to ensure correct templates are used, terms are accurate and ensure executed contracts can be administered across operations (claims, config, eligibility, etc.)
  • Manage the claim hold process to minimize claim rework
  • Build and maintain relationships with business partners to ensure desired results are attained and maintained
  • Actively participate in or lead cross functional teams or projects
  • Meet metrics and expectations set by leadership
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.
Posted: 2020-05-08 Expires: 2020-06-07

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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Contract Management Expert - Phoenix, AZ

UnitedHealth Group
Phoenix, AZ 85003

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