Network Contract Manager – Telecommute (commutable to New York, NY)

UnitedHealth Group
Published
November 13, 2020
Location
New York, NY
Category
Job Type

Description

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 ACO Account Manager/Network Contract Manager is responsible for the successful program design, compliance with network requirements, network assessment and selection, and program/product implementation. This includes enterprise - wide Clinically Integrated Network teams that focus on specific clinical area Lines of Service (e.g., Cardiology, Women's Health, Oncology, etc.) to improve the quality and affordability through improvements in appropriateness and effectiveness. The ACO Account Manager/Network Contract Manager may perform network analysis and strategy development and implementation; obtain data, verify validity of data, analyze data as required, and analyze network availability and access. Other responsibilities may also include making recommendations regarding use, expansion, selection of networks for various products based on that analysis.

If you are located within commutable distance from New York, NY, you will have the flexibility to telecommute* as you take on some tough challenges. 

Primary Responsibilities:

  • Anticipate customer needs and proactively develop solutions to meet them

  • Serve as a key resource on complex and / or critical issues

  • Solve complex problems and develop innovative solutions

  • Perform complex conceptual analyses

  • Review work performed by others and provides recommendations for improvement

  • Forecast and plan resource requirements

  • Authorize deviations from standards

  • 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

You'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 equivalent work experience
  • 1+ years of experience in claims processing and / or provider data maintenance
  • 1+ years of experience with contract submission, validation and maintenance
  • Intermediate level of proficiency with all ACO / provider / facility contract reimbursement methodologies
  • Strong knowledge of business processes that impact ACO / provider / facility contact loading and auditing
  • Intermediate proficiency in MS Office (Excel and PowerPoint)
  • Must live within commutable distance of the location listed for this specific career opportunity
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

  • Project Management experience
  • Excellent communication skills required including ability to communicate effectively with various levels of leadership

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 7 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)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

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: ACO (Accountable Care Organizations), Population Health, Value Based Contracting, Negotiation, Claims Processing, Provider Data Maintenance, Contracting, Contract Loading, Facility / Ancillary Contract Reimbursement Methodologies, Contract Submission, Medicaid, Validation, Maintenance, Account Manager, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote, Data Analysis, Excel, Project Management, NY, New York City

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