Provider Network Account Manager - Remote

UnitedHealth Group; Grand Junction (CO); Remote; Confidential; Full time

Job summary

An established industry player is seeking a dedicated Provider Network Account Manager to enhance the health care experience. In this role, you will leverage your expertise in provider contracting and operations to support a dynamic network of medical providers. You will engage in meaningful work that directly impacts communities, ensuring that health care is more responsive and equitable. This position offers the flexibility to work remotely while requiring occasional travel within Colorado. Join a team that values growth, collaboration, and innovation in health care delivery.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Qualifications

• 3+ years of health plan management experience required.
• Proven negotiation and communication skills essential.

Responsibilities

• Support contracting activities and maintain confidentiality.
• Collaborate with leadership and resolve provider issues.

Skills

Health plan management

Provider reimbursement strategies

Negotiation skills

Communication skills

Organizational skills

Problem-solving

Education

Bachelor's degree

Tools

MS Word

MS Excel

MS 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 C&S Colorado Provider Network Account Manager will utilize excellent organizational and interpersonal skills and specialized knowledge of provider network contracting, operations, and technical configuration to provide professional level support in the contracting and support of the C&S Colorado medical provider network.

***This role that will require up to 10% travel throughout the Western and Southern Colorado area.***

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

Primary Responsibilities:

• Serve as a high-level internal resource for contracting activities by utilizing knowledge of legal formats, terminology, contracting procedures, negotiation skills, and network strategy to provide administrative and technical support throughout the contracting process.
• Respect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by all employees. The ability to maintain confidentiality is a critical and essential component of this position.
• Knowledgeable of competitive activities affecting provider contracting throughout Colorado; provide hands-on assistance or support as needed. Maintain an operational knowledge of provider network management tasks through active participation in the current business environment and other learning venues to develop skills to assist provider network management.
• Works collaboratively with C&S Colorado Provider Network leadership in working with providers, IPAs, other contract negotiators, and legal and regulatory compliance resources, or other entities as directed.
• Provide support that assists in coordinating the implementation of contractual terms and procedural modifications that improve the contracting process. Provide follow through tracking and monitoring as directed for projects and contracts.
• Use independent thought to research, organize, and evaluate data to resolve problems where established procedures and precedents don’t always apply. Frequently explain detailed information, using tact and diplomacy to resolve disputed items. Use a professional and courteous demeanor while working collaboratively with individuals at all levels of this and other organizations in accordance with the Mission and Values of the company.
• Research provider agreements for information requested by internal and external entities to address contractual or operational issues. Assist the Professional Relations Representatives in educating providers on the appropriate techniques to comply with C&S Colorado policies and procedures, updating Provider Manuals and Directories, and responding to complex, escalated, or specialized provider inquiries that are received from direct calls and referrals from other enterprise teams. Interact with providers to resolve issues related to contracts and policies using multiple company resources.
• Support the credentialing department as appropriate, including but not limited to the facilitation of receipt of necessary documentation and communication between providers and the credentialing department.
• This position may require/requires travel. Requires independent, reliable, flexible, and on-demand, transportation at the incumbent’s expense for travel between various locations and timely arrival and departure from various locations. If the employee chooses to satisfy this requirement by driving a vehicle, the employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverage.

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:

• 3+ years of related progressive health plan management experience, preferably in managed care environment or provider organization, and experience with Medicaid plans or similar programs.
• Proven knowledge of provider reimbursement strategies.
• Experience managing direct reports.
• Proficient face to face and telephonic negotiation skills.
• Proficient in MS Word, Excel, and PowerPoint.
• Proven excellent verbal and written communication skills.
• Ability to travel 10% of the time within the State of Colorado.
• Driver’s License and access to reliable transportation.

*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.