Job description

Requirements

  • Entry level
  • No Education
  • Salary to negotiate
  • Minnetonka

Description

Position Description

It’s a big step forward when you realize that you’ve earned the trust to lead a team.  Now, let’s determine just how big that step can be. Take on this managerial role with UnitedHealth Group and you’ll be part of a team that’s reshaping how provider networks evolve and how health care works better for millions. As a manager within our network contracting team, you’ll guide the development and support of Provider Networks as well as 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 5 leader.
 
Primary Responsibilities:
Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
Evaluate and negotiate 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
Provide explanations and information to others on difficult issues
Coach, provide feedback and guide others
Get ready for some significant challenge. This is an intense, fast-paced environment that can be demanding. In addition there are some data challenges and unique problems that need to be solved related to gaps in the process.

Required Qualifications:
2+ 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) and/or knowledge of other provider reimbursement methodologies
2+ years of experience using financial models and analysis to negotiate rates with providers, client vendors or others
Intermediate level of knowledge of claims processing systems and guidelines
1+ years of experience in performing network adequacy analysis.
High School Diploma/ GED
Preferred Qualifications:              
Undergraduate degree
3+ years of experience in fee schedule development using actuarial models
                                         
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)


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:  Health care, Contracting, Account Manager, Negotiation, Business Development, Manager, Consultant, Minnetonka, MN, Minnesota


Job Details
Requisition Number
799082
Job Title
Network Contract Manager - Minnesota
Job Family
Network Contracting and Pricing
Business Segment
UnitedHealthcare Networks
Job Location Information

Minnetonka, MN
United States
North America
Additional Job Detail Information

Employee Status
Regular
Schedule
Full-time
Job Level
Individual Contributor
Shift
Day Job
Travel
Yes, 25 % of the Time
Telecommuter Position
No
Overtime Status
Exempt

About the company

Our mission is to help people live healthier lives and to help make the health system work better for everyone.

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 85 million people worldwide.

Our biggest point of differentiation is our people - and the collective talent, energy, intelligence and drive our force of 188,000 individuals around the world bring to our mission every single day. So, how do we do it? With our every action, interaction and intention that demonstrates the five fundamental values that guide everything we do:

• Integrity
• Compassion
• Relationships
• Innovation
• Performance

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