9 days old

Senior Network Contract Manager - Telecommute (Pacific or Mountain Time Zones; UT, ID, NV preferred) - 928937

Draper, UT 84020 Work Remotely
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  • Job Code
    928937

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 doingyour life's best work.(sm)

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Youll enjoy the flexibility to telecommute* from anywhere within the Mountain or Pacific time zones, preferably in the states of Utah, Idaho or Nevada, as you take on some tough challenges.

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Primary Responsibilities:

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  • Manage unit cost budgets, target setting, performance reporting and associated financial models
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  • Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance, trend management and appropriate distribution of provider specialties
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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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  • Review work performed by others and provide recommendations for improvement
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  • Forecast and plan resource requirements
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  • Authorize deviations from standards
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In this role, you will need to be able to thrive in a demanding, intense, fast-paced environment. In addition, you'll be driving some complex negotiations while striving to ensure accuracy.

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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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  • Bachelors degree or equivalent experience
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  • 5+ years of experience in a network management-related role handling complex network providers with accountability for business results
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  • 5+ years of experience in the health care industry
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  • 2+ years of experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions
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  • In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
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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 a similar UnitedHealth Group-approved symptom screener. 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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Careers with UnitedHealthcare.Let's talk about opportunity. Start with a Fortune 10 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 doyour 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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Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, youll find a far-reaching choice of benefits and incentives

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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: Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Facility Contracting, Provider Network, Network Development, Provider Services, Contract Negotiating, Network Management, Accountable Care Organization (ACO), Mountain Time Zone, Pacific Time Zone, UT, Utah, NV, Nevada, ID, Idaho

Posted: 2021-06-09 Expires: 2021-07-09

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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Senior Network Contract Manager - Telecommute (Pacific or Mountain Time Zones; UT, ID, NV preferred) - 928937

UnitedHealth Group
Draper, UT 84020

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