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?
Physician Network Contractor--Kingsport, TN-315168
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.
Develops the provider network (physicians, hospitals, pharmacies, 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. 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 Hospital, Physician, Pharmacy, or Ancillary providers, and ensures the network composition includes an appropriate distribution of provider specialties.
- Analyzes and investigates.
- Provides explanations and interpretations within area of expertise.
- Uses pertinent data and facts to identify and solve a range of problems within area of expertise.
- Investigates non-standard requests and problems, with some assistance from others.
- Works exclusively within a specific knowledge area .
- Prioritizes and organizes own work to meet deadlines.
- Provides explanations and information to others on topics within area of expertise.
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
- 3+ years in a network management/contract management role, such as contracting, provider services, purchasing, etc.
- Knowledge of the Tri-Cities Area provider market is required
- Knowledge of managed care IT Systems/Software, such as uNet, Facets, NDB & Emptoris is a strong plus
- Bachelors degree in business, health care management, or related field or equivalent experience
- Demonstrated effective negotiation skills and implementation/influencing skills
- Ability to utilize and interpret financial models and network adequacy analyses.
- Strong knowledge of RBRVS reimbursement methodology and clear understanding of claims processing guidelines.
- Problem solving skills, including the ability to systematically analyze complex problems, draw relevant conclusions, and successfully devise/implement appropriate solutions calmly.
- 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. Proficient in speaking in both individual and group settings.
- Ability to multi-task, shifting back and forth effectively among multiple activities.
- Possesses good interpersonal skills, establishing rapport and working 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. |
