Senior Physician Contract Manager - Norcross, GA OR Raleigh/Durham, NC; Greensboro, NC; Charlotte, NC; Columbia, SC

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 Senior Physician Contract Manager is primarily accountable for ensuring the physician network yields 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 across all lines of business. Senior 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 physician practices, integrated healthcare delivery systems and other key network providers, and ensuring the network composition includes an appropriate distribution of provider specialties.

Primary Responsibilities:

Negotiate contracts with integrated healthcare delivery systems and complex physician organizations
Own an end to end process
Develop functional, market level, and / or site strategy, plans, production and / or organizational priorities
Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency
Identify and resolve technical, operational and organizational problems outside own team
Product, service or process decisions are most likely to impact entire functions and / or customer accounts (internal or external)

Required Qualifications:


Undergraduate degree or equivalent experience

3+ years’ experience in a network management-related role handling complex network providers with accountability for business results

3+ years’ experience in the health care industry

3+ years’ experience with provider contracting, including experience negotiating with top tier providers

3+ years’ experience utilizing financial modeling in making rate decisions

Expert level of knowledge of both commercial and government program reimbursement methodologies, including value-based and incentive reimbursement structures

Strong customer service skills

Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others, including but not limited to reimbursement policy standards

Strong interpersonal skills, establishing rapport and working well with others
Preferred Qualifications:


Experience in the Georgia healthcare environment
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: 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: senior physician, contract manager, network management, RBRVS, Norcross, GA, Georgia, Raleigh, Durham, Greensboro, Charlotte, Columbia, North Carolina, South Carolina, NC, SC