Network Contract Manger - Pennsylvania
The Network Contract Manager develops the provider network 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.
Network Contract Managers evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls.
Responsibilities also include establishing and maintaining strong business relationships with providers and ensuring the network composition includes an appropriate distribution of provider specialties If you are located in Pennsylvania, you may have the flexibility to telecommute* as you take on some tough challenges.
Our preference is for a western PA location near Pittsburgh. Primary Responsibilities: Guide development of geographically competitive, broad access, stable network 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 Manage unit cost budgets, target setting, performance reporting and associated financial models Provide explanations and information to others on difficult issues 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: 3 years of experience in a network management-related role, such as contracting or provider services 2 years negotiation experience 2 years working with Medicare Resource Based Relative Value System (RBRVS) At least an intermediate level of proficiency with MS Excel Preferred Qualifications: Familiarity with the Pennsylvania Provider Community Experience at the hospital level 3 years of experience in performing network adequacy analysis Undergraduate or higher level degree 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.
Find out how you can start doing your life's best work.SMCareers 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. For more information on our Internal Job Posting Policy, click here 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: Network Contract Manger, Hospital Network Contractor, Pennsylvania Provider Contracting, Healthcare Contract Negotiator, Pittsburgh, PA, Philadelphia, Harrisburg, PA, King of Prussia, PA, Hanover, PA, York, PA, Pittsburgh d7afe4c3-18b1-415f-ae4a-2a7acd0b4858
Network Contract Manger - Pennsylvania
UnitedHealth Group Jobs
Website : http://www.unitedhealthgroup.com/
About UnitedHealth Group UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone. We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term