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Manager of Network Contracting - Multiple Locations
JACKSON MS 39203
Category: Health Care Industry , Insurance
  • Your pay will be discussed at your interview

Job code: lhw-e0-90671543

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UnitedHealth Group

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  Job posted:   Thu Jun 7, 2018
  Distance to work:   ? miles
       
  1 Views, 0 Applications  
 
Manager of Network Contracting - Multiple Locations
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 Manager of Network Contracting develops the provider network (physicians, hospitals, 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.
Manager of Network Contracting 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, or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties.
If you are located in Jackson, MS, New Orleans, LA, or Mobile, AL you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities: Anticipate customer needs and proactively develop solutions to meet them Serve as a key resource on complex and/or critical issues Solve complex problems and develop innovative solutions Perform complex conceptual analyses Review work performed by others and provide recommendations for improvement Forecast and plan resource requirements May lead functional or segment teams or projects Provide explanations and information to others on the most complex issues Required Qualifications: Undergraduate degree or equivalent experience 5+ years experience in a network management-related role handling complex network providers with accountability for business results 5+ years experience in the health care industry 2+ years experience in contributing to the development of product pricing and utilizing financial modeling in making rate decisions Advanced level of knowledge of Medicare reimbursement methodologies such as Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
2+ years experience with provider contracting Strong customer service skills Excellent 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 Strong interpersonal skills, establishing rapport and working well with others 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. Job Keywords: Network, Contracting, Manager, Medicare, DRGs, Ambulatory, Provider, Telecommute, Jackson, MS, Mississippi, New Orleans, LA, Louisiana, Mobile, AL, Alabama b9a43ec1-3f1e-4152-8b2f-1e7b97b068c0
*Manager of Network Contracting - Multiple Locations*
*Mississippi-Jackson*
*771751*

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