Healthcare Provider Network Contract Manager - Nashville / Knoxville, TN at Knoxville

Job 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 lifes best work.(sm)This person develops the provider network (hospital, ancillary & health system) 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. Evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Establishes and maintains strong business relationships with Hospital, Health System and Ancillary providers, and ensures the network composition includes an appropriate distribution of provider specialties.In this role you will be expected to: Assess and interpret customer needs and requirements. Identify solutions to non-standard requests and problems. Solve moderately complex problems and/or conduct moderately complex analyses. Work with minimal guidance; seek guidance on only the most complex tasks. Translate concepts into practice. Provide explanations and information to others on difficult issues. Coach, provide feedback, and guide others. Act as a resource for others with less experience.Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.

Job Requirements

Minimum of 5 years of experience negotiating contracts with ancillary providers, health systems and hospitals utilizing financial models and analysis in negotiating rates with providers.Undergraduate degree preferred.Must have financial analysis experience.Strong problem solving skills.In depth knowledge of Commerical, Medicare and Medicaid (specifically Tenncare) reimbursement methodologies. Experience and knowledge of the contracting process and the importance of external relationships.At least an intermediate level of knowledge of claims processing systems and guidelines.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 othersAble to travel up to 15%UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 25, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, were doing a lot of good.Through our family of businesses and a lot of inspired individuals, were building a high-performance health care system that works better for more people in more ways than ever. Now were looking to reinforce our team with people who are decisive, brilliant - and built for speed.Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Country: USA, State: Tennessee, City: Knoxville, Company: UnitedHealth Group.