It’s a big step forward when you realize that you’ve earned the trust to lead a team. Now, let’s determine just how big that step can be. Take on this integral role with UnitedHealth Group and you’ll be part of a team that’s reshaping how provider networks evolve and how health care works better for millions. As a participant in our network management team, 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. The New York market has Commercial, Medicare Advantage and Managed Medicaid products which enables a wide variety of strategic opportunities for creative projects and self-growth.
You will be responsible for being the day to day primary contact for large medical practices and/or hospitals and be involved in provider meetings with a variety of participant types. Leading meetings, organization of follow ups and overall project management skills are key to your success. Additionally you will work collaboratively with a number of internal departments to root cause issues and correct problems as they arise. Both of these areas are important as you will be a key relationship manager with our NY Provider partners. In addition you will be a part of Accountable Care partnerships and a key member of the team that supports our provider partners in value based agreements. As you do all of this, you’ll discover the impact you want and the resources, backing and opportunities that you’d expect from a Fortune 6 leader as well as a seasoned, local leadership team.
Lead Joint Operating Committee Meetings and various other provider facing and/or internal meetings related to provider experience and contracting
Have confidence in leading groups and handling difficult discussions and making decisions with facts and data you have accumulated
Be responsible for follow up items and managing project plans either on your own or with a cross functional team
Complete projects and manage your workload, including self-prioritization of tasks without being micro managed and in a somewhat autonomous, while knowing when to seek the help of your leader or others on your team
Create network participation contracts, payment appendix’s and amendments and make necessary customizations and edits while working with legal and internal counterparts to produce final documents for signature
Have the ability to learn a variety of technology solutions, some of which may not be “state-of-the-art” but necessary to mastering them in your role
Provide input to the development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
Get ready for some significant challenge. This is an intense, fast-paced environment that can be demanding. In addition there are some data challenges and unique problems that need to be solved related to gaps in the process.
- Undergraduate degree, preferably in business administration or management, finance or communication but will consider any bachelors degree
- 3+ years experience being in an external facing role, representing your organization with clients, vendors and/or government officials
- 3+ years experience managing complex meetings and/or projects
- Entrepreneurial mind-set whereby you are looking to be an integral part of a fast paced, dynamic team
- Financial acumen and ability to understand financial modeling and trending
- Advanced competency of excel, including pivot table
Intermediate competency of all Microsoft programs in addition to Excel
Superior writing skills and ability to convey complex matters in a streamlined manner to a variety of management levels
- 4+ years of experience in a network management-related role, such as contracting or provider services
- In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
- Intermediate level of knowledge of claims processing systems and guidelines
- 3+ years of experience using financial models and analysis to negotiate rates with providers
- Understanding of health plan designs (HMO, PPO) and benefit plan design
- Knowledge of Accountable Care principles and Patient Centered Care concepts
Creating 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)
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: Client service, Account Management, Project Management, Health care, Contracting, Negotiation, Business Development, Manager, Consultant