Network Contract Manager - Telecommute in ID, NV, or UT (Boise, ID office preferred) Details

Network Contract Manager - Telecommute in ID, NV, or UT (Boise, ID office preferred)

UnitedHealth Group - Boise, ID

Employment Type : Full-Time

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)

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.

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

If you are located within ID, NV, or UT, you will have the flexibility to telecommute* as you take on some tough challenges. Boise, ID office preferred.

Primary Responsibilities:

• Anticipate customer needs and proactively develop solutions to meet them
• Negotiate hospital and key physician, system contracts
• Serve as a key resource on complex and / or critical issues
• Forecast and plan ongoing hospital and physician contract renewal strategy
• May lead functional or segment teams or projects
  

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 or higher-level degree, or equivalent experience
• 3+ years of experience in the health care industry
• 3+ years of experience in a network management related role handling complex network providers with accountability for business results
• 2+ years of experience with provider contracting
• Expert level of knowledge of Medicare reimbursement methodologies such as Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
• Proficient with MS Excel
• You will be asked to perform this role in an office setting or other company location, however, may be required to work from home temporarily due to space limitations
• Employees are 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 prior to entering the work site each day, in order to keep our work sites safe. 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
  

Preferred Qualifications:

• 2+ years of experience using data analysis skills; ability to construct strategy from the provider data
• 2+ years of experience in contributing to the development of product pricing and utilizing financial modeling in making rate decisions
• Proficiency with all ACO, value based / provider / facility contract reimbursement methodologies
• Strong customer service skills
• Excellent verbal and written communication skills
• Strong interpersonal skills
  

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 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.

Job Keywords: Network Contractor, Healthcare, Contracting, Account Manager, Negotiation, Business Development, Manager, Consultant, Boise, ID, Idaho, Las Vegas, NV, Nevada, Salt Lake City, UT, Utah, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote