18 days old

Network Contract Manager - Dallas, TX - 910236

Dallas, TX 75201
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  • Job Code
    910236

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your lifes best work.(sm)

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"Primary Responsibilities:

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  • Manage unit cost budgets, target setting, performance reporting and associated financial
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  • models
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  • Guide development of geographically competitive, broad access, stable networks that
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  • achieve objectives for unit cost performance and trend management
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  • Evaluate and negotiate contracts in compliance with company templates, reimbursement
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  • structure standards and other key process controls
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  • Ensure that network composition includes an appropriate distribution of provider
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  • specialties
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  • Provide explanations and information to others on difficult issues
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  • Coach, provide feedback and guide others
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Get ready for some significant challenge. This is an intense, fast-paced environment that can bedemanding. In addition, there are some data challenges and unique problems that need to besolved related to gaps in the process.

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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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  • 4+ years of experience in a network management-related role, such as contracting orprovider services
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  • 3+ years of experience in fee schedule development using actuarial models
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  • 3+ years of experience using financial models and analysis to negotiate rates withproviders
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  • Intermediate level of knowledge of claims processing systems and guidelines
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  • 3+ years of experience in performing network adequacy analysis
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  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
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Preferred Qualifications:

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  • Undergraduate degree
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  • In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
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Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 380,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

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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.

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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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"Keywords: Contract, Network Manager, Medicare, Dallas, Fort Worth, TX, Texas

Posted: 2021-02-10 Expires: 2021-03-12

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 Contract Manager - Dallas, TX - 910236

UnitedHealth Group
Dallas, TX 75201

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