12 days old

Network Contract Manager - Multiple Locations in GA, NC, SC - 930025

Atlanta, GA 30303
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  • Job Code
    930025

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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Primary Responsibilities:

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  • Guide development of the network and negotiate agreements with physicians and medical groups 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.
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  • Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
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  • Ensure that network composition includes an appropriate distribution of provider 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 be demanding.

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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 or equivalent work experience
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  • 3+ years of experience in a network management-related role, such as contracting or provider services
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  • In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
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  • 2+ years of experience in fee schedule development using actuarial models
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  • 2+ years of experience using financial models and analysis to negotiate rates with providers
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  • Intermediate level of knowledge of claims processing systems and guidelines
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  • 2+ years of experience in performing network adequacy analysis
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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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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 that's second to none. This is no small opportunity. It's where you can 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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Job Keywords: Network Contracting, Network Contract Manager, Atlanta, GA, Georgia, Charlotte, Greensboro, Raleigh, NC, North Carolina, Greenville, Columbia, SC, South Carolina

Posted: 2021-06-10 Expires: 2021-07-10

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 - Multiple Locations in GA, NC, SC - 930025

UnitedHealth Group
Atlanta, GA 30303

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