Manage unit cost budgets, target setting, performance reporting and associated financial models
Predict emerging customer needs and develop innovative solutions to meet them• Help develop geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
Evaluate and negotiate physician and hospital contracts in compliance with company templates, reimbursement structure standards, and other key process controls
Ensure that network composition includes an appropriate distribution of provider specialties
If you are located in Idaho or near states, you will have the flexibility to telecommute* as you take on some tough challenges.
Get ready for a high impact role. You’ll be tasked with working in conjunction with our national clinics and hospitals to manage, collect and analyze provider data, updating and loading provider data and resolving any escalated issues with the clients.
3+ years of experience in a network management-related role, such as contracting or provider services
In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
In-depth knowledge of physician fee schedule methodologies
1+ years of experience using financial models and analysis to negotiate rates with providers
Intermediate level of knowledge of claims processing systems and guidelines
1+ years of experience in performing network adequacy analysis
Currently reside in the state Idaho
Creating and fine tuning provider networks helps improve access to health care for millions. It’s an outstanding opportunity to have more meaning and purpose in your career. Join us. Find out how you can start doing your life’s best work.SM Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 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.
Job Keywords: Managed Care, Provider Contracting, Physician Contracting, Facility Contracting, Hospital Contracting, Healthcare, Boise, ID, Idaho, Seattle, WA, Washington,Phoenix, AZ, Arizona, Las Vegas, NV, Nevada, Denver, CO, Colorado