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Network Contractor - Telecommute within Western , WI
EAU CLAIRE WI 54702
Category: Health Care Industry , Insurance
  • Your pay will be discussed at your interview

Job code: lhw-e0-89829685

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UnitedHealth Group

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Summary

  Job posted:   Fri May 18, 2018
  Distance to work:   ? miles
       
  4 Views, 0 Applications  
 
Network Contractor - Telecommute within Western , WI
Develop and maintain dental networks (Medicaid, Medicare and Commercial) network yielding a geographically competitive, broad access, and stable network. Evaluates, negotiates, and renews dental provider contracts and financial reimbursements according to standards defined by senior management. Establishes and maintain relationships with both internal and external customers.
Ensure network composition provides an appropriate distribution of provider types that meets expectation of sales and account management teams. Primary focus will be recruiting and servicing practitioners in markets defined as most critical by Sales, Account Management, and Senior Leadership.
If you are located in Wisconsin, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities: Focused recruitment territory Overall market level expansion responsibilities based upon competitive analysis Staff member will be responsible for recruiting new practitioner relationships within their defined market through mail, call, and face-to-face recruitment campaigns. As a part of this requirement staff member will be assigned one or more top market as defined by Senior Management annually. These markets will represent the critical growth and retention markets within their defined territory National and / or Client Specific Network Development Focused recruitment on key geographical markets as defined by GeoAccess and Provider disruption reports as well as client-specific objectives brought forward by Sales & Account Management Network Maintenance within assigned territory Staff member will be responsible for maintaining existing provider relationships and network expansion through leveraging existing relationships Primary provider servicing accountabilities will include at risk negotiations. In addition they will receive, assess, and triage escalated concerns. Recruiter will be face out to the practitioner and serve as the liaison between the practitioner and Network Operations for escalated concerns Staff member will complete proactive calls and visits as needed to maintain and grow key relationships and support organizational objectives (i.e.
provider adoption of EPS and other self-service tools, data verification, re-credentialing paperwork, etc.) *This position will be a telecommuter position with up to 50% travel within the state of Western Wisconsin * Required Qualifications: 3+ years of strong face to face, telephone sales, negotiation skills and customer service. Excellent verbal and written communication skills Ability to develop and facilitate network growth and maintenance strategies within territory Intermediate proficiency with MS Word and Excel Ability to work independently or within a team environment to achieve network development objectives Report creation experience, the ability to interpret, and take action on trend reporting is critical Must live within a commutable distance of the location listed for this specific career opportunity Preferred Qualifications: General knowledge of health insurance Experience in provider relations and/or healthcare provider network development and pricing Knowledge of Medicare and Medicaid reimbursement methodologies Experience with FACETS, Salesforce and / or SCION Familiarity with GeoAccess reporting tools Knowledge of provider office operations and dental practice management procedures philosophies Knowledge of key competitors within territory and nationally, their products, and their reimbursement strategies. MS PowerPoint experience Creating and fine tuning provider networks helps improve access to health care for millions.
It's an outstanding opportunity to have more meaning and purpose in your career.
Join us.
Find out how you can start doing your life's best work.SM Careers at UnitedHealthcare Employer & Individual.
We all want to make a difference with the work we do.
Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine.
Here, you get that opportunity every day.
As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives.
You'll help write the next chapter in the history of health care.
And you'll find a wealth of open doors and career paths that will take you as far as you want to go.
Go further.
This is your life's best work.SM All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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.UnitedHealth Group is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment. Job Keywords: Provider relations, FACETS, Salesforce and/or SCION, Recruiter, Contracting, Provider Advocate, face to face, telephone sales, customer service and negotiation skills, Wisconsin, La Crosse, WI, Eau Claire, WI, Wausau, WI 2902a593-fc22-4672-af90-156ac7c568de
*Network Contractor - Telecommute within Western , WI*
*Wisconsin-La Crosse*
*766675*

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