Network Contractor – Telecommute in NY, MA, RI, CT, VT, NH or ME

UnitedHealth Group
Published
June 27, 2021
Location
Atlanta, GA
Category
Job Type

Description

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 Dental Network Recruiter develops the dental 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. Dental Network Recruiters 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, Clinics and Dental providers, and ensuring the network composition includes an appropriate distribution of provider specialties.

If you are located in NY, MA, RI, CT, VT, NH or ME, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities: 

  • Use pertinent data and facts to identify and solve a range of problems within area of expertise
  • Investigate non-standard requests and problems, with some assistance from others
  • Work exclusively within a specific knowledge area 
  • Prioritize and organize own work to meet deadlines
  • Provide explanations and information to others on topics within area of expertise
  • Position being hired is dedicated to Dental; commercial, Medicare and government programs

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Undergraduate degree or equivalent experience
  • 1+ years’ experience in a network management-related role, such as contracting or provider services
  • In-depth knowledge of Medicare reimbursement methodologies, i.e. Resource Based Relative Value System (RBRVS)
  • Intermediate level of knowledge of claims processing systems and guidelines
  • Verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others
  • Interpersonal skills, establishing rapport and working well with others
  • Customer service skills
  • Must have reliable transportation and be located in NY, MA, RI, CT, VT, NH or ME
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

 
Preferred Qualifications:

  • 2+ years of experience in fee schedule development using actuarial models
  • 2+ years of experience utilizing financial models and analysis in negotiating rates with providers
  • 1+ years of experience in performing network adequacy analysis

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)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy
 

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:Network Contractor, Contracting, Provider Services, Medicare Reimbursement Methodologies, Connecticut, Massachusetts, New York, Rhode Island, Maine, New Hampshire, Vermont, Telecommute, Telecommuter, Telecommuting, Remote, Work from home, Work at home

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