Associate Network Contractor - Mercer Island, WA - Full-time / Part-time

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 Associate Network Contractor develops the provider network (physicians, hospitals, 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. Associate Network Contractors evaluate 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, or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties.

Primary Responsibilities:

• Apply basic knowledge of theories, practices and procedures in a function or skill


• Perform routine or structured work


• Respond to routine or standard requests


• Use existing procedures and facts to solve routine problems or conduct routine analyses


• Depend on others for instruction, guidance or direction


• Be highly organized


• Act as a team player


• Be innovative and think outside of the box


• Be an enthusiastic learner


• Engage in multiple activities and be responsible for many requirements at once


• Understand current technology systems

Required Qualifications:

• Undergraduate degree or equivalent experience


• 1+ years of experience utilizing financial models and analysis


• 1+ years of experience conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others


• Strong interpersonal skills, establishing rapport and working well with others


• Strong customer service skills


• An intermediate level of knowledge of processing systems and guidelines

Preferred Qualifications:

• 1+ years of experience in a network management-related role, such as contracting or provider services


• In-depth knowledge of Medicare reimbursement methodologies, i.e. Resource Based Relative Value System (RBRVS)


• 1+ years of experience in performing network adequacy analysis


• Experience working in a complex technology-based environment

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 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)

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job Keywords: technology, innovation, processing systems, Mercer Island, WA