What makes your career greater with UnitedHealth Group? Growth opportunities among the variety of product lines and making an impact on the healthcare system ensures the work will always be challenging and exciting.

This role develops and services the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) ensuring that provider issues coming into the office are resolved appropriately. This frequently requires interactions with other areas within the company. Also, this role is part of a team that works to generate 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. Also, evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Establishes and maintains strong business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensures the network composition includes an appropriate distribution of provider specialties. Performs additional related projects as requested.
Usepertinent data and facts to identify and solve a range of problems within area of expertise.
Investigatenon-standard requests and problems, with some assistance from others.
Workexclusively within a specific knowledge area.
Prioritizeand organize own work to meet deadlines.
Provideexplanations and information to others on topics within area of expertise.
Analyzeand investigate issues as they arise.

Note: This is an office based position located in NYC.
Qualifications:


Qualifications:
Requirements:
3years in the health care or managed care industry.
2years working with Healthcare claims and familiarity with claim terminology.
Atleast an intermediate level of proficiency with Excel.
3years experience with MS Office products.

Assets:
Proficiencywith NDB.
Proficiencywith UNO.
1years experience with Emptoris.
2years experience in a network management-related role, such as contracting or provider services.
Knowledgeof Medicare reimbursement methodologies, i.e. Resource Based Relative Value System (RBRVS).
Atleast an intermediate level of knowledge of claims processing systems and guidelines.
Abilityto solve problems.
Excellentverbal and written communication skills.
Abilityto manage high volume, fast paced work environment.
Stronginterpersonal skills, establishing rapport and working well with others.
Strongcustomer service skills.
Undergraduatedegree.

UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:

UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.

UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.

UnitedHealthcare Community & State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.

Together, we're removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.

Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.