UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Senior Physician Network Contractor--New York, NY-313827
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare, what you do matters. It's that simple...and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
Qualified candidates must be based in our One Penn Plaza office.
Primary Responsibilities:
- Provide management support to the Director of Network Management
- Manage and develop Network Management staff resources
- Participate in the development of and has direct accountability for execution of specified health plan network strategies
- Assist Director in oversight of the health plan's medical cost per unit trend budget by monitoring and document activities related to specific strategies
- Assist Director in managing the relationship with AmeriChoice of New York as well as with one or more of UnitedHealth Group's affiliated companies, including Uniprise, UBH, UHN, URN, Optum, Extended Markets, etc., as delegated by Director
- Establish and maintain strong collaborative relationships with UnitedHealth Networks leadership and regional Network Management leadership
- Act as Network Management liaison to other operational areas within the health plan
- Assist Director in creation and monitoring of specific initiatives for the health plan's Medical Expense Action Plan related to cost per unit issues as assigned by the Director; participate in the creation of the annual cost per unit budget and any interim re-forecasting on a monthly basis
- Represent Network Management at local and regional meetings when requested
- Monitor and influence claim resolution processes performed by Uniprise
- Prepare, analyze, review and projects financial / systems impacts of various negotiation strategies
- Monitor ongoing provider performance for changes in cost and utilization trends
- Ensure that contracts are executed, loaded, and audited accurately and timely
- Develop and analyze provider proposals to support contracting initiatives
- Serve as a leader/mentor
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career. Qualifications
- Bachelors degree is required
- Must have at least 3 years experience negotiating contracts (network management) with large physician groups
- Knowledge of Medicare and Medicaid reimbursement methodologies
- Intermediate skills with Word and Excel; strong data skills
- Excellent written and verbal communication skills
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. |
