Senior Network Contract Manager - Telecommute (w/in NC/SC preferred)
Company: UnitedHealth Group
Location: Charleston
Posted on: May 14, 2022
Job Description:
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)The more you do, the more you learn. And as
you learn you find new doors opening that challenge you to bring
your best. This leadership role with UnitedHealth Group will call
on your knowledge, your energy and your commitment to making health
care work more effectively for more people. You'll guide the
development and support of Provider Networks as well as unit cost
management activities through financial and network pricing
modeling, analysis and reporting. As you do, you'll discover the
impact you want and the resources, backing and opportunities that
you'd expect from a Fortune 6 leader.If you are located in a
commutable location to North Carolina or South Carolina, you will
have the flexibility to telecommute* as you take on some tough
challenges.Primary Responsibilities:
- Manage unit cost budgets, target setting, performance reporting
and associated financial models
- Guide development of geographically competitive, broad access,
stable networks that achieve objectives for unit cost performance,
trend management and appropriate distribution of provider
specialties
- Evaluate and negotiate contracts in compliance with company
templates, reimbursement structure standards and other key process
controls
- Review work performed by others and provide recommendations for
improvement
- Forecast and plan resource requirements
- Authorize deviations from standardsIn 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.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:
- 5+ years of experience in a network management-related role
handling complex network providers with accountability for business
results
- 5+ years of experience in the health care industry
- 2+ years of experience with provider contracting including
development of product pricing and utilizing financial modeling in
making rate decisions
- In-depth knowledge of Medicare Resource Based Relative Value
System (RBRVS), DRGs, Ambulatory Surgery Center Groupers,
etc.Preferred Qualifications:
- Undergraduate degree
- Full COVID-19 vaccination is an essential requirement of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure complianceTo protect the health and safety of our workforce,
patients and communities we serve, UnitedHealth Group and its
affiliate companies require all employees to disclose COVID-19
vaccination status prior to beginning employment. In addition, some
roles and locations require full COVID-19 vaccination, including
boosters, as an essential job function. UnitedHealth Group adheres
to all federal, state and local COVID-19 vaccination regulations as
well as all client COVID-19 vaccination requirements and will
obtain the necessary information from candidates prior to
employment to ensure compliance. Candidates must be able to perform
all essential job functions with or without reasonable
accommodation. Failure to meet the vaccination requirement may
result in rescission of an employment offer or termination of
employment.Careers with UnitedHealthcare. -Let's talk about
opportunity. Start with a Fortune 5 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)*All Telecommuters will be required to adhere
to UnitedHealth Group's Telecommuter Policy.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.
Keywords: UnitedHealth Group, Charleston , Senior Network Contract Manager - Telecommute (w/in NC/SC preferred), Executive , Charleston, South Carolina
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