Network Contract Manager, Dental - Remote

UnitedHealth Group•La Crosse, WI

2d•$72,800 - $130,000•Remote

About The Position

Explore opportunities with Logistics Health Incorporated (LHI), part of the Optum family of business. We’re dedicated to simplifying the logistics of complex workforce health programs with cost-effective solutions and a seamless distribution process. With offices in La Crosse, Wis., a satellite office in Chicago and remote employees throughout the country, we have a variety of rewarding career opportunities for you. Elevate your career as you help us create a healthier tomorrow for everyone and discover the meaning behind Caring. Connecting. Growing together. If you are located in La Crosse, WI, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

1+ years of experience in a network management-related role, such as contracting or provider services
Experience with client-facing responsibilities, including issue resolution and contract negotiations
Intermediate proficiency using MS Office (Outlook, Word, Excel, PowerPoint)
Proven ability to solve complex issues and unique situations
Driver’s License and access to a reliable transportation
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

Experience using financial models and analysis to negotiate rates with provider
Experience performing network adequacy analysis
Experience using MedNet
Experience using Tableau
Intermediate level of knowledge of claims processing systems and guidelines
Working knowledge of dental terminology
Knowledge and understanding of military protocol
Knowledge of OSHA compliance and health safety standards
In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)

Responsibilities

Manage performance target setting, performance reporting and associated financial models relative to provider network contracting
Guide development of geographically competitive, broad access, stable networks that achieve objectives
Evaluate, understand, and negotiate provider contracts in compliance with company templates, reimbursement structure standards and other key process controls
Ensure that network composition includes an appropriate distribution of providers
Influence and/or provide input to forecasting and planning activities for network growth
Establish and maintain solid business relationships with assigned providers and internal partners
Work cross functionally to facilitate resolution of issues