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UnitedHealth Group

UnitedHealth Group is looking for a Sr. Healthcare Network Contract Manager  #PagosaSpringsJobsAvaliable #JobSearchEnginePagosaSprings #HealthcareJobsPagosaSprings #ManagerJobsPagosaSprings

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This leadership role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. You’ll guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you’ll discover the impact you want and the resources, backing and opportunities that you’d expect from a Fortune 6 leader.If you are located in the Omaha or Lincoln, Nebraska area, 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 Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance, trend management and appropriate distribution of provider specialties Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls Review work performed by others and provide recommendations for improvement Forecast and plan resource requirements Authorize deviations from standardsIn this role, you will need to be able to thrive in a demanding, intense, fast-paced environment. In addition, you’ll be driving some complex negotiations while striving to ensure accuracy.Youll 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: 5+ years of experience in a network management-related role handling complex network providers with accountability for business results 5+ years of experience in the health care industry 2+ years experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc. 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 a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.Preferred Qualifications: Undergraduate degreeCreating and fine tuning provider networks helps improve access to health care for millions. It’s an outstanding opportunity to have more meaning and purpose in your career. Join us. Find out how you can start doing your life’s best work.(sm)Careers with UnitedHealthcare. Let’s talk about opportunity. Start with a Fortune 6 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)Colorado Residents Only: The salary/hourly range for Colorado residents is $79,700 to $142,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.*All Telecommuters will be required to adhere to UnitedHealth Groups 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: reporting, negotiating, network, medicare, provider contracting, telecommute, Nebraska Recommended SkillsFinancial ModelingResource Based Relative Value ScaleMedicareForecastingRecommended JobsContract ManagerAtlanta,GaContract Manager, Atlanta,GaSr. Healthcare Network Contract ManagerUnitedHealth GroupWork From HomeFull-TimeNetwork Contract Manager – VACCN – Telecommute in the East CoastUnitedHealth GroupAtlantaNetwork Contract Manager – VACCN – Telecommute in the East CoastUnitedHealth GroupAtlanta

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