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Senior Network Contract Manager - Telecommute

$79.7k - $142.6k

Unitedhealth Group

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)The Senior Network Contract Manager develops the Provider Network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) 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.You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controlsIdentify potential contract issues and impacts on the businessBuilds relationships that nurture Hospital, Physician, Pharmacy, or Ancillary Provider partnerships and seeks broader value-based business opportunities to support the local market strategyEvaluate and negotiate contractsEnsure the network composition includes an appropriate distribution of provider specialtiesAdapt departmental plans and priorities to address business and operational challenges · Set team direction, resolve problems and provide guidance to members of own teamInfluence or provide input to forecasting and planning activities May oversee work activities of other supervisorsProduct, service or process decisions are most likely to impact multiple groups of employees and/or customers (internal or externalYou’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 equivalent experience5+ years of experience in a Network Management-related role handling complex Network Providers with accountability for business results2+ years of experience in the following areas: Contributing to the development of product pricing and utilizing financial modeling in making rate decisions Managing a medical cost and administrative budgetProvider contracting Supervising or Managing a teamProven strong contract negotiating skills Expert level of knowledge of Medicare reimbursement methodologies such as Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.Intermediate proficiency in MS Word, Excel, and OutlookPreferred Qualifications:Solid customer service skillsExcellent 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, including but not limited to reimbursement policy standards Solid interpersonal skills, establishing rapport and working well with othersUnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)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, you’ll find a far-reaching choice of benefits and incentives.*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. For more information on our Internal Job Posting Policy, click here.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: Network Contract Manager, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, RemoteBrand: Optum Care DeliveryJob ID: 2012703Employment Type: Full-timeJob Area: Health Care Operations

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