23 days old

Network Affordability Manager - Telecommute in Southern CA - 908676

Cypress, CA 90630 Work Remotely
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  • Job Code
    908676

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)

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UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system

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When you work with UnitedHealthcare, what you do matters. It's that simpleand it's that challenging.

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In providing consumer-oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.

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Develops the ancillary, provider network yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management and produces an affordable and predictable product for customers and business partners. May perform network analysis and strategy development and implementation.

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Statewide Affordability Lead for Ancillary, supporting all line of business. Evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Establishes and maintains strong business relationships with ancillary providers and ensures the network composition includes an appropriate distribution of provider specialties.

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Lead for ancillary negotiations as well as renewals for large systems (i.e., Adventist, Dignity, etc.), working with the market and ancillary contractors. Works in partnership with Health Care Economics to identify high cost contract improvement and as well as savings opportunities for large spend providers. Builds ancillary Best In Class plan to lower the overall cost of care in each market. Develops training plan to support ancillary contractors growth and development.

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If you are located within Southern, CA, you will have the flexibility to telecommute* as you take on some tough challenges.

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Primary Responsibilities:

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  • Reviews the work of others
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  • Develops innovative approaches
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  • Identifies and develops training opportunities
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  • Sought out as expert
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  • Serves as a leader / mentor
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Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.

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Youll 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.

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Required Qualifications:

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  • Undergraduate degree required
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  • 5 years of experience working in a managed health care environment
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  • Proven experience negotiating ancillary and medical group contracts
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  • Proven relationship building skills with providers
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  • Proficient user of MS Word and MS Excel
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Preferred Qualifications:

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  • MBA Degree
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  • Strong written and verbal communication skills
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Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 7 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 thats second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

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Job Keywords: Affordability Manager, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote, UHC, Southern California, Cypress, California, CA

Posted: 2021-02-06 Expires: 2021-03-08

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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Network Affordability Manager - Telecommute in Southern CA - 908676

UnitedHealth Group
Cypress, CA 90630

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