1+ months

Sr. Network Contract Manager - Telecommute in Southern CA - 903122

San Diego, CA 92101 Work Remotely
  • Job Code
    903122
UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)
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The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This leadership role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. You'll guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 7 leader.
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Senior Contract Manager (GL 28) role to support statewide growth agenda for Medicare and Medicaid/MediCal market expansions in order to drive membership and revenue growth. The role will lead the expansion of Chronic Special Needs Plans (cSNP) and Dual Eligible Special Needs Program (DSNP) for Medicare and MediCal Health Plans in conjunction with market leads and contractors throughout the state.
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Additionally, the role will provide contracting and network management support for the Managed MediCal California renewal and Request for Proposal process with the Department of Health Care Services (DHCS). The role will also support the role out of Medicare and MediCal provider incentive programs and special programs needed to support the lines of business.
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Position will be based in Southern CA reporting to the Vice President of Network Management and will work closely with the California Network team within United Health Network.
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If you are located within the state of California you will have the flexibility to telecommute* as you take on some tough challenges.
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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.
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Required Qualifications:
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  • 5 - 10 years of healthcare and contracting experience
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  • 5 - 10 years of experience in the Medicare Advantage
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  • Knowledge invarious reimbursement and incentive models, including but not limited to, global and shared risk capitation, fee for service, primary care incentive models
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Preferred Qualifications:
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  • BA or BS degree preferred with MHA or MPH
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  • Experience with MediCal business
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Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 7 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)
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*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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Job Keywords: Negotiation, Contract, Network, Hospital, Centene, Healthnet, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote, Molina, Blue Cross Blue Shield, Facility, Contracts, San Diego, Southern California, CA

Categories

Posted: 2020-12-17 Expires: 2021-02-14

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Sr. Network Contract Manager - Telecommute in Southern CA - 903122

UnitedHealth Group
San Diego, CA 92101

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