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Dental Provider Network Contractor - Remote

Company: UnitedHealth Group
Location: Missouri City
Posted on: March 16, 2023

Job Description:

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) Positions in this function 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. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Focused recruitment in assigned 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 may be assigned Ad hoc projects outside their territory as needed to support clients National &/or Client Specific Network Development: Focused recruitment on key geographical markets as defined by Geo-Access 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 assigned territory 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: Undergraduate degree or equivalent work experience 2 years of experience in a network management-related role, such as contracting or provider services/sales 2 years of Face to face, telephone sales, customer service and/or negotiation experience Report creation experience, the ability to interpret, and take action on trend reporting Proficiency with MS Word, Excel, and PowerPoint Preferred Qualifications: Experience in provider relations and/or healthcare provider network development and pricing Experience with FACETS, Salesforce and/or Skygen General knowledge of health insurance and/or dental insurance Knowledge of Medicare and Medicaid reimbursement methodologies 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 Familiarity with Geo-Access reporting tools NE Region Excellent verbal and written communication skills Ability to development and facilitate network growth and maintenance strategies within territory Ability to solve complex problems and respond promptly to the customer Ability to work independently or within a team environment to achieve network development objective 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) California, Colorado, Connecticut, Nevada, New York City, or Washington Residents Only: The hourly range for California, Colorado, Connecticut, Nevada, New York City, or Washington residents is $27.07 to $53.08. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. ---All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 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.

Keywords: UnitedHealth Group, Missouri City , Dental Provider Network Contractor - Remote, Healthcare , Missouri City, Texas

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