South/West Network Provider Contract Manager
Company: UnitedHealth Group
Location: Cypress
Posted on: June 19, 2022
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Job Description:
Combine two of the fastest-growing fields on the planet with a
culture of performance, collaboration, and opportunity and this is
what you get. Leading edge technology in an industry that's
improving the lives of millions. Here, innovation isn't about
another gadget, it's about making health care data available
wherever and whenever people need it, safely and reliably. There's
no room for error. Join us and start doing **your life's best
work.(sm)**You will enjoy the flexibility to telecommute* from
anywhere within the U.S. as you take on some tough
challenges.**Primary Responsibilities:**+ Manage performance target
setting, performance reporting and associated financial models
relative to provider network contracting+ Guide development of
geographically competitive, broad access, stable networks that
achieve objectives+ Evaluate, understand, and negotiate provider
contracts in compliance with company templates, reimbursement
structure standards and other key process controls+ Ensure that
network composition includes an appropriate distribution of
provider specialty types+ Influence and/or provide input to
forecasting and planning activities for network growth+ Establish
and maintain strong business relationships with assigned providers
and internal partners+ Research provider footprint and evaluate for
gap filling**What are the reasons to consider working for
UnitedHealth Group? Put it all together - competitive base pay, a
full and comprehensive benefit program, performance rewards, and a
management team who demonstrates their commitment to your success.
Some of our offerings include:**+ Paid Time Off which you start to
accrue with your first pay period plus 8 Paid Holidays+ Medical
Plan options along with participation in a Health Spending Account
or a Health Saving account+ Dental, Vision, Life& AD Insurance
along with Short-term disability and Long-Term Disability coverage+
401(k) Savings Plan, Employee Stock Purchase Plan+ Education
Reimbursement+ Employee Discounts+ Employee Assistance Program+
Employee Referral Bonus Program+ Voluntary Benefits (pet insurance,
legal insurance, LTC Insurance, etc.)+ More information can be
downloaded at: http://uhg.hr/uhgbenefitsYou'll be rewarded and
recognized for your performance in an environment that will
challenge you and give you clear direction on what it takes to
succeed in your role as well as provide development for other roles
you may be interested in.**Required Qualifications:**+
Undergraduate degree or 3 years Network management-related work
experience+ 3+ years of experience in a network management-related
role handling complex network providers with accountability for
business results+ 3+ years of experience with direct provider
contracting, including facility, physician, and ancillary
providers+ Experience with client-facing responsibilities,
including issue resolution and contract negotiations+ Intermediate
level of knowledge of claims processing systems and guidelines+
Experience performing network adequacy analysis+ Ability to solve
complex issues and unique situations+ Understanding of network
adequacy analytics and how to prioritize the work based on data+
Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state, and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodation**Preferred
Qualifications:**+ Knowledge and understanding of military
protocol+ Experience with building brand new networks+ 5+ years of
experience with direct provider contracting, including facility,
physician and ancillary_To protect the health and safety of our
workforce, patients, and communities we serve, UnitedHealth Group
and its affiliate companies require all employees to disclose
COVID-19 vaccination status prior to beginning employment. In
addition, some roles and locations require full COVID-19
vaccination, including boosters, as an essential job function.
UnitedHealth Group adheres to all federal, state, and local
COVID-19 vaccination regulations as well as all client COVID-19
vaccination requirements and will obtain the necessary information
from candidates prior to employment to ensure compliance.
Candidates must be able to perform all essential job functions with
or without reasonable accommodation. Failure to meet the
vaccination requirement may result in rescission of an employment
offer or termination of employment._**Careers with Optum.** Here's
the idea. We built an entire organization around one giant
objective; make health care work better for everyone. So, when it
comes to how we use the world's large accumulation of
health-related information, or guide health and lifestyle choices
or manage pharmacy benefits for millions, our first goal is to leap
beyond the status quo and uncover new ways to serve. Optum, part of
the UnitedHealth Group family of businesses, brings together some
of the greatest minds and most advanced ideas on where health care
has to go in order to reach its fullest potential. For you, that
means working on high performance teams against sophisticated
challenges that matter. Optum, incredible ideas in one incredible
company and a singular opportunity to do **your life's best
work.(sm)***All Telecommuters will be required to adhere to
UnitedHealth Group's Telecommuter Policy.**Colorado, Connecticut or
Nevada Residents Only:** The salary range for Colorado residents is
$66,100 to $118,300. The salary range for Connecticut / Nevada
residents is $72,800 to $129,900. Pay is based on several factors
including but not limited to education, work experience,
certifications, etc. In addition to your salary, UnitedHealth Group
offers benefits such as, a comprehensive benefits package,
incentive and recognition programs, equity stock purchase and 401k
contribution (all benefits are subject to eligibility
requirements). No matter where or when you begin a career with
UnitedHealth Group, you'll find a far-reaching choice of benefits
and incentives_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: #RPO, #green, sign on bonus,
manager, remote, work from home, work at home, WFH, WAH,
telecommute, network provider contract manager, hiring
immediately
Keywords: UnitedHealth Group, Cypress , South/West Network Provider Contract Manager, Executive , Cypress, California
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