UnitedHealth Group Sr. Network Account Manager - Westerville, Ohio in Westerville, Ohio

Expanding access to affordable, high quality health care starts here.

This is where some of the most innovative ideas in health care are created every day.

This is where bold people with big ideas are writing the next chapter in health care.

This is the place to do your life's best work.(sm) The Sr.

Network Account Manager assists in developing and maintaining the physician network yielding 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.


Network Account Managers are responsible for managing relationships with key physicians and large physician groups assuring accurate demographic information and managing the contract cycle. In addition, the Sr.

Network Account Managers assists in evaluating and negotiating contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Primary Responsibilities: Assess and interpret customer needs and requirements Identify solutions to non - standard requests and problems Solve moderately complex problems and/or conduct moderately complex analyses Work with minimal guidance; seek guidance on only the most complex tasks Translate concepts into practice Provide explanations and information to others on difficult issues Act as a resource for others with less experience Work with Matrix partners to help maintain the physician network Ensure accurate Provider Data Provide explanations and interpretations within area of expertise Required Qualifications: Undergraduate degree or equivalent work experience 3+ years of experience in a relationship management - related role, such as contracting or provider services 3+ years of experience in fee schedule development using actuarial models or able to demonstrate proficiency with financial modeling.

3+ years of experience utilizing financial models and analysis in negotiations Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others Strong interpersonal skills, establishing rapport and working well with others Strong customer service skills Preferred Qualifications : Knowledge of Medicare reimbursement methodologies, i.e.

Resource Based Relative Value System (RBRVS) Knowledge of claims processing systems and guidelines Experience in performing network adequacy analysis Careers with UnitedHealthcare.

Let's talk about opportunity.

Start with a Fortune 6 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) Diversity creates a healthier atmosphere: 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. UnitedHealth Group is a drug-free workplace.

Candidates are required to pass a drug test before beginning employment. Job Keywords: Healthcare, Contracting, Account Manager, Negotiation, Business Development, Manager, Consultant, Columbus, Ohio, OH Westerville, Network Contracting, SNAM, Sr.

Network Account Manager 4523da1f-d80f-4246-9282-7c79264d68da

Sr. Network Account Manager - Westerville, Ohio Ohio-Westerville 731777