UnitedHealth Group Associate Network Contractor - Las Vegas, NV in Las Vegas, Nevada
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 life's best work.(sm)
The Associate Network Contractor develops the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) 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. Associate Network Contractors evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties.
Apply basic knowledge of theories, practices and procedures in a function or skill
Perform routine or structured work
Respond to routine or standard requests
Use existing procedures and facts to solve routine problems or conduct routine analyses
Depend on others for instruction, guidance or direction
Process LOIs for HPN, SHL, SHO, SAW, MAPP, and MEDICAID
Understanding analytics on rate increase requests
Monitors Network for performance, access, and demographic changes
Projects relating to contracts
High School Diploma / GED
1+ years of experience with negotiating contracts
1+ years of experience in performing network adequacy analysis
Basic proficiency in Office, Word (letter writing), and Excel
- Undergraduate degree
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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: UnitedHealth Group, Associate Network Contractor, Las Vegas, Nevada, contract, negotiate
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