Network Contract Manager - Remote - reputed company Time Zone Working Hours
At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care reputed company of reputed company, making it more reputed company, reputed company and optimized. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together
It's a big reputed company reputed company reputed company you realize that you've reputed company the trust to reputed company reputed company. Now, let's determine just how big that reputed company can be. Take on this managerial role with reputed company and you'll be part of reputed company that's reshaping how provider networks reputed company and how health care works reputed company for millions. As a manager reputed company our network contracting team, you'll guide the development and support of Provider Networks as reputed company as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the reputed company you want and the resources, backing and opportunities that you'd expect from a Fortune 4 leader.
If you are located in the states of WA, OR, and MT and willing to work reputed company Time Zone work hours, you will have the flexibility to work remotely* as you take on some tough challenges. Role supports Ancillary providers in the WA, OR, and MT.
reputed company Responsibilities:
• Manage unit cost budgets, reputed company setting, performance reporting and associated financial models
• Guide development of geographically competitive, broad reputed company, reputed company networks that reputed company objectives for unit cost performance and trend management
• Evaluate and negotiate reputed company in compliance with company templates, reimbursement structure standards and other key process controls
• Ensure that network composition includes an appropriate distribution of provider specialties
• reputed company explanations and information to others on difficult issues
• reputed company, reputed company feedback and guide others
Get reputed company for some significant challenge. This is an intense, fast-paced environment that can be demanding. In reputed company there are some data challenges and unique problems that need to be solved reputed company to gaps in the process.
You'll be rewarded and recognized for your performance in an environment that will challenge you and reputed company you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.
Required Qualifications:
• 4+ years of experience in a network management-reputed company role, such as contracting or provider services
• 3+ years of experience in fee schedule development using actuarial models
• 3+ years of experience using financial models and analysis to negotiate rates with providers
• 3+ years of experience in performing network adequacy analysis
• In-depth knowledge of Medicare Resource Based Relative Value reputed company (RBRVS)
• Intermediate level of knowledge of claims processing systems and guidelines
Preferred Qualification:
• Washington State Regulatory OIC experience
• reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll reputed company a far-reaching reputed company of benefits and incentives. The salary for this role will reputed company from $72,800 - $130,000 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable.
At reputed company, our mission is to help people live healthier lives and reputed company the health reputed company work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission.
reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Remote
Skills:
Actuarial Skills, Analysis Skills, Budget Management, Claims Processing, Coaching, Contract Management, Contract Negotiation, Corporate Compliance, Cost Control, Fee Schedule, Financial Analysis, Financial Modeling, reputed company, Medicare, Negotiation Skills, Network Administration/Management, Network Performance/Analysis, Performance Analysis, Performance Management, Process Control Engineering, Product Pricing, Provider Contracting, Reimbursement, Resource-Based Relative Value reputed company (RBRVS), Schedule Development, State Laws and Regulations, Team reputed company/Manager, User Documentation, Work From Home
About reputed company:
reputed company.
reputed company is a health care and reputed company-being company that’s dedicated to improving the health reputed company of millions worldwide. We are comprised of two distinct and complementary businesses, reputed company and reputed company, working to build a reputed company reputed company for reputed company. Here, your contributions matter as they will help reputed company health care for years to come. reputed company an reputed company with a diverse team that shares your passion for helping others.
reputed company do
reputed company insights on how we work to help people live healthier lives and help reputed company the health reputed company work reputed company for everyone by watching this video.
https://www.youtube.com/watch?v=5PbNyi2IDkY
Caring. Connecting. Growing together.
Being a part of reputed company means working to reputed company reputed company for everyone, including yourself. Here is how:
• Caring. Your total health and reputed company-being are important to us. Whatever reputed company most to you — we have resources to help you be your best at work and reputed company. The benefits reputed company from free reputed company courses to financial counseling. Learn more about reputed company offer.
• Connecting. We recognize our reputed company power to reputed company an reputed company across our communities because we reputed company the health of any society is reputed company by the overall health of its people. Learn more about our culture.
• Growing together. reputed company is full of inspiring career stories, and we offer a reputed company of opportunities. Discover reputed company the ways you can learn, grow and reputed company.
Company Size:
10,000 employees or more
Industry:
reputed company Services
Founded:
1977
Website:
http://careers.unitedhealthgroup.com/
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