26 days old

Network Contract Manager - Telecommute (ID, NV, and UT, Boise office preferred) - 919004

Boise, ID 83702 Work Remotely
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  • Job Code
    919004

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)

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The Network Contract Manager develops the provider network hospitals and physicians 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. Network Contract Managers evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties.

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This role supports and contracts with the physician and hospital network in Idaho for all lines of business.

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If you are located in ID or NV or UT you will have the flexibility to telecommute* as you take on some tough challenges.

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Primary Responsibilities:

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  • Anticipate customer needs and proactively develop solutions to meet them
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  • Negotiate hospital and key physician, system contracts
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  • Serve as a key resource on complex and / or critical issues
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  • Forecast and plan ongoing hospital and physician contract renewal strategy
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  • May lead functional or segment teams or projects
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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 or higher-level degree, or equivalent experience
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  • 3+ years of experience in the health care industry
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  • 3+ years of experience in a network management related role handling complex network providers with accountability for business results
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  • 2+ years of experience with provider contracting
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  • Expert level of knowledge of Medicare reimbursement methodologies such as Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
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  • Proficient with 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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  • 2+ years of experience using data analysis skills; ability to construct strategy from the provider data
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  • 2+ years of experience in contributing to the development of product pricing and utilizing financial modeling in making rate decisions
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  • Proficiency with all ACO, value based / provider / facility contract reimbursement methodologies
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  • Strong customer service skills
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  • Excellent verbal and written communication skills
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  • Strong interpersonal 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 wherever 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: 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 Contractor, Healthcare, Contracting, Account Manager, Negotiation, Business Development, Manager, Consultant, Boise, ID, Idaho, NV, Nevada, UT, Utah, Telecommute, Telecommuter, Telecommuting, Remote, Work from home, Work at home

Posted: 2021-05-19 Expires: 2021-06-18

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 - Telecommute (ID, NV, and UT, Boise office preferred) - 919004

UnitedHealth Group
Boise, ID 83702

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