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?
Manager, Network Contracting ~ Indianapolis, IN-315097
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
Develops the provider network (physicians, ancillary groups 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.�Evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Establishes and maintains strong business relationships with Physician, Ancillary providers, and ensures the network composition includes an appropriate distribution of provider specialties. - Manages and is accountable for professional employees and/or supervisors.- Impact of work is most often at the local level.
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
- Must have a minimum of 3-5+ years management experience within a healthcare environment.
- Five years in a network management-related role, such as contracting, provider services, purchasing, etc.
- Bachelor's degree in business, health care management, or related field or equivalent experience.
- Strong negotiation skills; the ability to gain acceptance from others of a plan or idea and achieve a mutually beneficial outcome.
- In-depth knowledge of fee schedules and reimbursement methodologies (i.e. Resource Based Relative Value System).
- Ability to utilize financial models and analysis in negotiating rates with providers.
- Knowledge of claims processing systems and guidelines.
- Ability to perform network adequacy analysis.
- Problem solving skill; the ability to systematically analyze problems draw relevant conclusions and devise appropriate courses of action.
- Ability and willingness to calmly and effectively resolve escalated vendor complaints and problems.
- Ability to gather, interpret and communicate policy statements.
- 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 from others including but not limited reimbursement policies standards.
- Ability to multi-task, shifting back and forth effectively between two or more activities or sources of information.
- Possesses good mentoring and leadership skills, establishing rapport and working well with others.
- Can be relied upon to act ethically, to safeguard confidential information and to adhere to UnitedHealthcare's Code of Conduct and all legal and regulatory requirements.
- Networks outside and inside the organization and builds positive strategic relationships with key individuals and Physician groups.
- Maintains a high level of work quality, focuses on detail, and is dependable in meeting commitments and fulfilling obligations.
- Ability and willingness to calmly and effectively assist customers and represent UnitedHealthcare in a professional manner at all times.
- Ability and willingness to work toward team objectives and work well with others.
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. |
