Senior Network Account Manager - Des Moines, IA

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.



UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 16 million people who receive our unique blend of packages and programs. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.


 


We're looking for an upbeat, independent individual who would enjoy the opportunity to manage and have ownership over medical spending in their assigned areas. Our new Manager will take responsibility for the overall contracting of large physician, hospital and ancillary groups. This is a great career opportunity for an individual who wants to show off their skills and grow with the industry leader. (Candidate can be located in DesMoines, IA or Bettendorf, IA)


 


Job Responsibilities:


Calling on, recruiting and contracting large physician, hospital and ancillary groups.

Facilitating and directing the high-impact negotiation efforts of a cross-functional team which includes senior members of other departments.

Managing the market cost of the assigned region (IA territories).

Promoting the use of electronic provider on-line service tools.

Performing and monitoring the contract loading process, claims resolutions, provider appeals and service/performance issues.

Spending approximately 25-50% of work time in the field.


 



Job Qualifications:



Healthcare (payor) experience is required.


Contract negotiation in healthcare required.


Prior experience in a provider network management-related role preferred.


In-depth knowledge of reimbursement methodologies and experience in fee schedule development is a plus. 


Experience with coding is preferred. 


Bachelor's degree is required, Masters degree preferred. 


UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan. 





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