![]() , rates market share product provider networks market intelligence GeoAccess) Functional Competencies - Develop/Negotiate/Support Terms of Agreement with Providers Interact and consult with Network Pricing team to evaluate different financial arrangements and to identify and recommend Utilize appropriate contract management systems (e. , internal financial models external reports) to evaluate performance of current contracts Demonstrate understanding of contract language to assess financial and operational impact and legal implications of requested contract changes Demonstrate understanding of competitor landscape within the market (e. , PPM HCE's RVU/Unit tool) and reports (e. If you are located in New York City Albany, New York, upstate New York, downstate, New York and northern New Jersey, Kingston, New York, or Islandia, New York, you will have the flexibility to work remotely as you take on some tough challenges Primary Responsibilities: General Job Profile Reviews the work of others Develops innovative approaches Sought out as an expert Serves as a leader/mentor Job Scope and Guidelines Initiate contact with providers regarding proposals, to overcome rate objections and utilize effective and efficient negotiation skills to obtain appropriate reimbursement rates Develop and build provider relationships to facilitate current and future provider agreements Anticipates customer needs and proactively develops solutions to meet them Serves as a key resource on complex and/or critical issues Forecasts and plans resource requirements May lead functional or segment teams or projects Functional Competencies - Evaluate/Analyze Current Contract and Market Performance Analyze UCRT associated with products, markets, and/or providers to assess performance against budget Demonstrate understanding of and utilize applicable financial tools (e. Network Contract Manager will also be responsible for tracking and trending out of network recruitment activity, cost savings and making recommendations on potential contracting opportunities to support provider network adequacy. (sm) Position in this function is responsible for provider recruitment and negotiating provider agreements for UnitedHealthcare's Empire Plan.ĭevelops the provider network 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.Įvaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls.Įstablishes and maintains strong business relationships with Physicians and ensures the network composition includes an appropriate distribution of provider specialties. Ready to make a difference? Join us and start doing your life's best work. ![]() The work you do here impacts the lives of millions of people for the better.Ĭome build the health care system of tomorrow, making it more responsive, affordable and equitable. ![]() ![]() ![]() At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. ![]()
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