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Manager, Network Contracting - Telecommute in FL

United Health Group

Location: Tampa, Florida
Type: Remote
Posted on: October 4, 2021
This job is no longer available from the source.
Submission for the position: Manager, Network Contracting - Telecommute in FL - (Job Number: 2004581)
Manager, Network Contracting - Telecommute in FL
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)
If you are located in Florida, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
• Manage unit cost budgets, target setting, performance reporting and associated financial models
• Develop the provider network (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
• Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
• Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
• Ensure that network composition includes an appropriate distribution of provider specialties
• Establishes and maintains solid business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensures the network composition includes an appropriate distribution of provider specialties
• Set team direction, resolve problems and provide guidance to members of your team
• Influence and/or provide input to forecasting and planning activities
• This role is all about challenge and relationships, You'll partner with CEO's from various lines of business as we work on building effective relationships with large medical groups
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 experience
• 5 years of experience in a network management-related role handling complex network providers with accountability for business results
• 3 years of supervisory experience
• 2 years of experience contributing to the development of product pricing and utilizing financial modeling in making rate decisions and managing a medical cost and administrative budget
• 2 years of experience with provider contracting
• Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 380,000 lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to 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: Healthcare, Contracting, Account Manager, Negotiation, Business Development, Manager, Consultant, health care, Tampa, FL, Florida, WFH, work from home, work at home, telecommute, telecommuter, telecommuting, remote
Provider Contracting & Network Development
US-FL-Tampa
WellMed Medical Mgmt, Inc
Oct 4, 2021, 11:51:11 PM
Schedule: Full-time Location(s): US-FL-Tampa