Senior Network Contract Manager (Infertility) - Multiple Locations - 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 Senior Network Contract Manager develops the provider network relationships and network growth/strategy for Centers of Excellence (COE) infertility program. (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. Senior Network 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 our health plan clients, including UnitedHealthcare and Oxford. Primary Responsibilities:

Anticipate customer needs and proactively develop solutions to meet them
Serve as a key resource on complex and / or critical issues
Use effective negotiation skills
Work effectively with Product team to advance the network’s strategy
Solve complex problems and develop innovative solutions
Perform complex conceptual analyses
Review work performed by others and provide recommendations for improvement
May lead functional or segment teams or projects
Provide explanations and information to others on the most complex issues
Motivate and inspire other team members

Required Qualifications:

Undergraduate degree or equivalent experience
5+ years’ experience in a network management-related role handling complex network providers with accountability for business results
5+ years’ experience in the health care industry
2+ years’ experience with provider contracting
Strong customer service and negotiation skills
Ability to analyze, formulate and communicate complex rate proposals
Understanding of and experience with CPT code and other provider-based reimbursement methodologies
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 with infertility clinics
Ability to analyze rate proposals and utilize analysis tools
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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)
 
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: network development, analytics, Infertility, network contracting, Eden Prairie, MN, Minnesota, New York, NY