Network Contract Manager - Boise, ID

Company: UnitedHealth Group ( Learn More )

General Information
US-ID-Meridian
N/A
Not Specified
Full-Time
Not Specified
Not Specified
False
False
Job Description You get it. Everyone gets it. The health care system needs to evolve even further than it has and it has to do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here’s where you come in. As member of our network contracting team, you’ll help develop and support Provider Networks and guide unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you’ll discover the impact you want and the resources, backing and opportunities that you’d expect from a Fortune 6 leader.
Primary Responsibilities:
  • 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.


    Required Qualifications:
  • 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


  • Preferred Qualifications:
  • Undergraduate degree


  • 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.




    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: 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

    Job Requirements