Network Contract Manager - Telecommute In ID, NV, Or UT (Boise, ID Office Preferred)
- Full-Time
- Boise, ID
- UnitedHealth Group
- Posted 4 years ago – Accepting applications
Job Description
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:
Required Qualifications:
*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
Apply to this Job
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
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
- 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
*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