Sr. Network Account Manager - Remote in FL (Alachua, Marion, Lake and Surrounding Counties)

UnitedHealthcare; Gainesville (FL); Remote; USD 71,600 - 140,600; Full time

Benefits offered by this job

Comprehensive Health Plans

401k

Stock Purchase

Incentives

Job summary

Join a leading healthcare organization as a Sr. Network Account Manager in Florida. This remote role focuses on overseeing provider relations and network management for long-term care divisions. You'll work on provider contracting, education, and ensuring network adequacy, all while fostering relationships with healthcare providers. The position offers a competitive salary and comprehensive benefits, making a significant impact on healthcare access and quality.

Qualifications

• 3+ years in network management, contracting, or provider services.
• Experience with Medicaid and Long-Term Care programs.

Responsibilities

• Manage provider networks, including contracting and credentialing.
• Develop and maintain relationships with providers.
• Evaluate and negotiate contracts in compliance with company standards.

Skills

Communication

Relationship-Building

Negotiation

Education

High School Diploma

Bachelor's Degree

Tools

Microsoft Office

Excel

Job description

Sr. Network Account Manager - Remote in FL (Alachua, Martin, Lake, and Surrounding Counties)

Join us at UnitedHealthcare as a Sr. Network Account Manager in Florida. This role involves overseeing provider relation networks for Community & State Long-Term Care Divisions, including provider contracting, credentialing, provider relations, education, and network tracking. The position requires working with provider portals, EVV, claims, and ensuring network adequacy.

Key Responsibilities:

• Manage provider networks, including contracting and credentialing
• Develop and maintain relationships with providers
• Evaluate and negotiate contracts in compliance with company standards
• Ensure network coverage and close gaps as needed
• Collaborate with case management staff to address network needs

Qualifications:

• High School diploma; Bachelor's preferred
• 3+ years in network management, contracting, or provider services
• Experience with Medicaid and Long-Term Care programs
• Proficiency in Microsoft Office, especially Excel
• Excellent communication and relationship-building skills
• Ability to travel up to 25%

Location: Remote, with counties including Alachua, Putnam, Marion, Lake, Sumter, Hernando, Citrus, Levy, Dixie, Gilchrist, Lafayette, Suwannee, Hamilton, Columbia, Union, Bradford.

Compensation: $71,600 to $140,600 annually, based on experience and location. Benefits include comprehensive health plans, 401k, stock purchase, and incentives.

Join us to help improve healthcare access and quality, fostering healthier communities and making a difference in people's lives.