Network Contract Manager, Dental - Remote

UnitedHealth Group; La Crosse (WI); Remote; USD 73,000 - 130,000; Full time

Job summary

UnitedHealth Group's Logistics Health Incorporated (LHI) in La Crosse, WI offers a remote-friendly role in network management and provider contracting. You will manage performance targets, analyze financial models, and help shape a broad access, stable provider network.

This position requires 1+ year in network management, MS Office proficiency, and strong problem-solving. Remote work options nationwide are available, with salary ranging from $72,800 to $130,000, plus benefits.

Qualifications

• 1+ years of experience in a network management-related role, such as contracting or provider services
• Experience with client-facing responsibilities, including issue resolution and contract negotiations
• Intermediate proficiency using MS Office (Outlook, Word, Excel, PowerPoint)
• Proven ability to solve complex issues and unique situations
• Driver's License and access to a reliable transportation

Responsibilities

• Manage performance target setting, performance reporting and associated financial models relative to provider network contracting
• Guide development of geographically competitive, broad access, stable networks that achieve objectives
• Evaluate, understand, and negotiate provider contracts in compliance with company templates, reimbursement structure standards and other key process controls
• Ensure that network composition includes an appropriate distribution of providers
• Influence and/or provide input to forecasting and planning activities for network growth
• Establish and maintain solid business relationships with assigned providers and internal partners
• Work cross functionally to facilitate resolution of issues

Skills

MS Office proficiency

Contract negotiations

Issue resolution

Driver's license

Tools

MS Office

Job description

Explore opportunities with Logistics Health Incorporated (LHI), part of the Optum family of business. We're dedicated to simplifying the logistics of complex workforce health programs with cost-effective solutions and a seamless distribution process. With offices in La Crosse, Wis., a satellite office in Chicago and remote employees throughout the country, we have a variety of rewarding career opportunities for you. Elevate your career as you help us create a healthier tomorrow for everyone and discover the meaning behind Caring. Connecting. Growing together.

If you are located in La Crosse, WI, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Manage performance target setting, performance reporting and associated financial models relative to provider network contracting
• Guide development of geographically competitive, broad access, stable networks that achieve objectives
• Evaluate, understand, and negotiate provider contracts in compliance with company templates, reimbursement structure standards and other key process controls
• Ensure that network composition includes an appropriate distribution of providers
• Influence and/or provide input to forecasting and planning activities for network growth
• Establish and maintain solid business relationships with assigned providers and internal partners
• Work cross functionally to facilitate resolution of issues

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:

• 1+ years of experience in a network management-related role, such as contracting or provider services
• Experience with client-facing responsibilities, including issue resolution and contract negotiations
• Intermediate proficiency using MS Office (Outlook, Word, Excel, PowerPoint)
• Proven ability to solve complex issues and unique situations
• Driver's License and access to a reliable transportation

Preferred Qualifications:

• Experience using financial models and analysis to negotiate rates with provider
• Experience performing network adequacy analysis
• Experience using MedNet
• Experience using Tableau
• Intermediate level of knowledge of claims processing systems and guidelines
• Working knowledge of dental terminology
• Knowledge and understanding of military protocol
• Knowledge of OSHA compliance and health safety standards
• In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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