Network Business Consultant - Remote

Davita Inc.; New York (NY); Remote; USD 89,000 - 177,000; Full time

Job summary

A leading healthcare organization is seeking a Medical Network Business Consultant to oversee the management of client networks. This role involves handling reporting, project management, and ensuring high-quality services for strategic clients. Candidates with strong analytics, client service experience, and project management skills are encouraged to apply.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Qualifications

• 4+ years of medical benefits understanding and client/member service experience.
• Project Management background.
• Proficient in Excel and PowerPoint.

Responsibilities

• Support the Vice President of Network Management - Premier Accounts in daily operations and initiatives.
• Manage, analyze and maintain network activity reporting.
• Coordinate and support Premiere Account client implementations.

Skills

Client/member service experience

Project Management

Proficient in Excel

Proficient in PowerPoint

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Medical Network Business Consultant plays a pivotal role in supporting the management and performance of UnitedHealthcare's largest and most strategic clients. This position requires a solid understanding of UnitedHealthcare's medical network, critical thinking to resolve complex issues, and the ability to manage multiple projects with precision, consistency and accuracy. The role involves close collaboration with internal teams and external stakeholders to ensure the delivery of high-quality network services and communications

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Support the Vice President of Network Management - Premier Accounts in daily operations and strategic initiatives
• Manage, analyze and maintain network activity reporting, including monthly and ad hoc reporting requests
• Analyze data, identify trend, and create a path for solutioning
• Organize and oversee the Medical Network Teams folder, ensuring up-to-date and accurate documentation, ensuring proper cataloging in SharePoint or Teams. Attend and scribe network management meetings with the clients
• Coordinate and support Premiere Account client implementations and steady-state account management by managing provider digital experience, provider communications/education, provider satisfaction, network adequacy, network utilization patterns, network quality initiatives
• Collaborate with different arounds within the organization and national reporting teams to deliver timely and accurate network activity such as high-risk renewals, terminations, network disruption and other network related updates that have a direct impact on the clients
• Serve as a liaison Network Services and Network Operations to address and resolve client escalations and network gap issues
• Contribute to special network projects and network affordability strategies
• Create SOP, P&P, and workflows to ensure all parties understand process
• Review contracts understand deliverables owned by the network team

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:

• 4+ years of medical benefits understanding and client/member service experience
• Project Management background
• Proficient in Excel and PowerPoint
• Resides in Eastern or Central time zones

Preferred Qualifications:

• Network contracting experience
• Understanding of UMR processes and systems

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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