You get it. Everyone gets it. The health care system needs to evolve even further than it has and it has to do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here's where you come in. As member of our network contracting team, you'll help develop and support Provider Networks and guide 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. Primary Responsibilities:Overall market level expansion responsibilities based upon competitive analysisStaff member will be responsible for recruiting new practitioner relationships within their defined market through mail, call, and face-to-face recruitment campaignsAs a part of this requirement staff member will be assigned one or more top market as defined by Senior Management annually. These markets will represent the critical growth and retention markets within their defined territoryNational and / or Client Specific Network DevelopmentFocused recruitment on key geographical markets as defined by GeoAccess and Provider disruption reports as well as client-specific objectives brought forward by Sales & Account ManagementNetwork Maintenance within assigned territoryStaff member will be responsible for maintaining existing provider relationships and network expansion through leveraging existing relationships.Primary provider servicing accountabilities will include at risk negotiations. In addition they will receive, assess, and triage escalated concerns. Recruiter will be face out to the practitioner and serve as the liaison between the practitioner and Network Operations for escalated concerns. Staff member will complete proactive calls and visits as needed to maintain and grow key relationships and support organizational objectives (i.e. provider adoption of EPS and other self-service tools, data verification, re-credentialing paperwork, etc.)*This position will be a telecommuter position with up to 50% travel within the state of Kentucky*If you are located in Kentucky, you will have the flexibility to telecommute* as you take on some tough challenges. Get ready for a high impact role. You'll be tasked with working in conjunction with our national clinics and hospitals to manage, collect and analyze provider data, updating and loading provider data and resolving any escalated issues with the clients.
Required Qualifications:Strong face to face, telephone sales, customer service and negotiation skillsExcellent verbal and written communication skillsAbility to development and facilitate network growth and maintenance strategies within territoryProficiency with MS Word, Excel, and PowerPointAbility to work independently or within a team environment to achieve network development objectivesReport creation experience, the ability to interpret, and take action on trend reporting is criticalPreferred Qualifications:General knowledge of health insuranceExperience in provider relations and/or healthcare provider network development and pricingKnowledge of Medicare and Medicaid reimbursement methodologies Experience with FACETS, Salesforce and / or SCIONFamiliarity with GeoAccess reporting tools Knowledge of provider office operations and dental practice management procedures philosophiesKnowledge of key competitors within territory and nationally, their products, and their reimbursement strategiesJob Keywords: Provider relations, FACETS, Salesforce and/or SCION, KY, Kentucky, Recruiter, Contracting, Provider Advocate, face to face, telephone sales, customer service and negotiation skills, Louisville, KY, Lexington, KY, Kentucky *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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
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.