24 days old

Provider Contracting Associate - San Antonio, TX - 892755

San Antonio, TX 78205
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  • Job Code
    892755
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 doyour life's best work.(sm)

TheProvider Contracting Associateis responsible for managing administrative tasks aligned with the contracting process. TheProvider Contracting Associatewill create contracts, validate data including provider demographic information and submit load requests to the appropriate internal team. They will also be responsible for addressing questions regarding contract language, contract set-up, payment methodology and other processes. Attention to detail, problem solving, and establishing and maintaining strong business relationships are crucial for success in this role.

Responsibilities also include communicating contractual terms with providers and negotiating mutually acceptable agreements, understanding of contract policies to ensure compliance and consistent contracting across the enterprise, and ensuring the network adequacy requirements are met for each provider specialty.

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.

Required Qualifications:
  • Undergraduate degree or related experience
  • 3+ years of experience in a network management-related role, such as contracting or provider services
  • Experience utilizing financial models and analysis in negotiating rates with providers
  • Experience in performing network adequacy analysis
  • At least a foundational level of knowledge of claims processing systems and guidelines
  • At least an intermediate proficiency with MS Office suite including Word and Excel
Preferred Qualifications:
  • In-depth knowledge of Medicare reimbursement methodologies, i.e. Resource Based Relative Value System (RBRVS)
  • Familiarity with fee schedule development using actuarial models
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others
  • Strong interpersonal skills, establishing rapport and working well with others.
  • Strong customer service skills

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 doyour life's best work.(sm)



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.


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



Job Keywords: health care, healthcare, contracting, network management, network development, provider data, contract configuration, Medicare, WellMed, San Antonio, TX, Texas

Posted: 2020-11-04 Expires: 2020-12-26

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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Provider Contracting Associate - San Antonio, TX - 892755

UnitedHealth Group
San Antonio, TX 78205

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