Manages healthcare provider and vendor relationships, negotiates fee schedules and contracts, expands provider networks, oversees performance and reimbursement processes, supports credentialing and compliance, conducts business reviews, and develops programs to improve network operations. The role requires collaboration with legal, compliance, finance, HR, and market teams, along with presentations to leadership and up to 25% travel.
Requisition Number: 2397726
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
Energize your career with one of Healthcare's fastest growing companies.
You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
By partnering with the Departments of Defense, Health and Human Services, Veterans Affairs and other organizations, we help accelerate VA modernization, support the operational effectiveness and readiness in military health, and provide policy and technology solutions to guide the transition to value-based care. With capabilities in health IT, data and analytics, population health management, health care operations, military and veteran health services, and health policy research and consulting, OptumServe is proud to be a transformative partner that helps federal agencies tackle some of our country's biggest health care challenges.
As a Senior Network Account Manager, you will be responsible for the full range of end-to-end business partnerships and service interactions to build and nurture positive relationships between the contract requirements, providers (agency, physician, ancillary, etc.) and market managers. Vendor Management is a growing organization within OptumServe Shared Services and is positioned to support all OptumServe business units. We perform critical work for our nation's most vulnerable populations. You will find your place and purpose working within OptumServe working in a diverse workplace.
Primary Responsibilities:
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.
Required Qualifications:
Preferred Qualifications:
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
Energize your career with one of Healthcare's fastest growing companies.
You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
By partnering with the Departments of Defense, Health and Human Services, Veterans Affairs and other organizations, we help accelerate VA modernization, support the operational effectiveness and readiness in military health, and provide policy and technology solutions to guide the transition to value-based care. With capabilities in health IT, data and analytics, population health management, health care operations, military and veteran health services, and health policy research and consulting, OptumServe is proud to be a transformative partner that helps federal agencies tackle some of our country's biggest health care challenges.
As a Senior Network Account Manager, you will be responsible for the full range of end-to-end business partnerships and service interactions to build and nurture positive relationships between the contract requirements, providers (agency, physician, ancillary, etc.) and market managers. Vendor Management is a growing organization within OptumServe Shared Services and is positioned to support all OptumServe business units. We perform critical work for our nation's most vulnerable populations. You will find your place and purpose working within OptumServe working in a diverse workplace.
Primary Responsibilities:
- Build rapport and maintain solid, long-standing provider relationships based on professional trust
- Identify, develop and solicit offers and bids from large Healthcare Systems and Networks to expand the capabilities of the provider network
- Negotiating complex fee schedules and mobile exam solutions,
Manage provider performance, finance/reimbursement process, legal/HR awareness of staff situations and credentialing activities - Work with OptumServe Legal and Compliance team to develop new contracts, update contracts and modify language to meet growing and changing business needs
- Design and implement programs to build and nurture positive relationships between the contract requirements, providers (agency, physician, ancillary, etc.), and market managers
- Implement strategies relating to the development and management of a provider network. May also be involved in identifying and remediating operational short-falls and researching and remediating claims
- Travel within authorized budget in support of Account Manager duties and delivery of customer satisfaction
- Prepare presentations and worksheets to be shared with leadership team to convey provider performance
- Protect OptumServe from risk and liability by writing, enforcing, and adhering to compliance and legal standards
- Conduct Quarterly and Annual Business Reviews
- Drive changes and process adoption through collaboration, relationship building and solutioning
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.
Required Qualifications:
- 3+ years of sales negotiating, subcontracting experience, order acquisition, human resources experience or related work experience
- Proficiency with MS Office (MS Excel, MS PowerPoint)
- Proven skilled in Account Management Process and Call Planning
- Ability to be on call over weekends and evenings as needed
- Ability to travel 25% of the time
Preferred Qualifications:
- Supplier, vendor, account management or sourcing and procurement or related operations experience
- Experience managing contracting processes and procedures
- Experience with federal programs
- Experience managing highly complex programs
- Broad healthcare experience
- Database experience/education
- Proficiency in data and analytics
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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