The ACO Account Manager is responsible for successful Value Based contract negotiation and implementation ensuring compliance with network requirements. This includes coordinating with enterprise - wide Clinically Integrated Network teams that focus on executed Value Based Contracts to improve the quality and affordability through improvements in appropriateness and effectiveness. ACO Account Manager may perform Value Based contract analysis and strategy development and implementation; obtain data, verify validity of data, and analyze data as required, and analyze network availability and access. Other responsibilities may also include making recommendations regarding the future growth of the Value Based deal. Primary Responsibilities: Partner with providers, IPA's and ACO's to negotiate and implement sound Value Based dealsAnticipate customer needs and proactively develop solutions to meet them Serve as a key resource on complex and / or critical issues for our internal and external partnersSolve complex problems and develop innovative solutions May lead functional or segment teams or projects Provide explanations and information to others on the most complex issues Motivate and inspire other team members
Required Qualifications: Undergraduate degree or equivalent work experience 1+ years of experience in Managed Care contracting 1+ years of experience with contract submission, validation and maintenance Intermediate level of proficiency with all ACO / provider / facility contract reimbursement methodologies Strong knowledge of business processes that impact ACO / provider / facility contact loading and auditing Intermediate proficiency in MS Office (Excel and PowerPoint) Must live within commutable distance of the location listed for this specific career opportunityPreferred Qualifications: Value Based or Population Health contracting experienceProject Management experience Excellent communication skills required including ability to communicate effectively with various levels of leadershipCareers 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: ACO, Accountable Care Organization, Managed Care, New York, healthcare, Negotiations, Contract Management, Contracting, Downstate NY, population health, value based contracting, negotiation, claims processing, New York, NY, Brooklyn, NY, Queens, NY, Manhattan, NY, Staten Island, NY, Bronx, NY, New York
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.