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Physician Contract Manager - Lexington KY

Company name
UnitedHealth Group

Lexington, KY

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Position Description Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Physician Contract Manager 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. Physician 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 Hospital, Physician, Pharmacy, or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties. Primary Responsibilities: Use pertinent data and facts to identify and solve a range of problems within area of expertiseInvestigate non-standard requests and problems, with some assistance from othersWork exclusively within a specific knowledge area Prioritize and organize own work to meet deadlinesProvide explanations and information to others on topics within area of expertise Required Qualifications: Undergraduate degree1 years of professional office experienceAt least an intermediate level of knowledge of MS Office (Word, Excel, PowerPoint)Preferred Qualifications:Healthcare experience Prior experience in a network management-related role, such as contracting or provider services Knowledge of claims processing systems and guidelinesMedicare knowledgeKnowledge of Medicare reimbursement methodologies, i.e. Resource Based Relative Value System (RBRVS)Experience utilizing financial models and analysis in negotiating rates with providersExperience in fee schedule development using actuarial modelsStrong interpersonal skills, establishing rapport and working well with othersStrong customer service skills Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6organization 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) 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. Keywords: healthcare, network management, provider services, Medicare, RBRVS, Lexington, KY, Kentucky

Company info

UnitedHealth Group
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Company Profile
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

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