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Network Contract Manager - Oklahoma City, OK
| Hours | Full-time, Part-time |
|---|---|
| Location | Oklahoma City, OK Oklahoma City, Oklahoma |
About this job
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 Network Contractor develops the provider network (physicians, 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. Network Contractors 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 expertise
- Prioritize and organize own work to meet deadlines
- Provide explanations and information to others on topics within area of expertise
- Focus on large Physician Group and facility contracting
Requirements
Required Qualifications:
- 4+ years of experience in a network management-related role, such as contracting or provider services.
- At least an intermediate level of proficiency with Excel
- 2+ years experience developing or delivering presentations
- Residence in Oklahoma; ideal location is in area of Oklahoma City; Tulsa area residents may also be considered
Desired Qualifications:
- Previous experience with Oklahoma providers
- 3+ years of experience utilizing financial models and analysis in negotiating rates with providers
- At least an intermediate level of knowledge of claims processing systems and guidelines
- 3+ years of experience in performing network adequacy analysis
- In-depth knowledge of Medicare reimbursement methodologies, i.e. Resource Based Relative Value System (RBRVS)
- Excellent verbal and written communication skills
- Strong interpersonal skills, establishing rapport and working well with others
- Strong customer service skills
- Undergraduate degree
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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, 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 Contractor, Healthcare, Contracting, Account Manager, Negotiation, Business Development, Oklahoma City, Tulsa, OK