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Dental Provider Network Contractor - Telecommute

Company: UnitedHealth Group
Location: San Antonio
Posted on: September 24, 2022

Job Description:

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with 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 telecommute* 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
  • 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 Face to face, telephone sales, customer service and/or negotiation experience
        • Report creation experience, the ability to interpret, and take action on trend reporting is critical
        • Proficiency with MS Word, Excel, and PowerPoint
        • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation Preferred Requirements:
          • 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 To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment 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) Colorado, Connecticut or Nevada Residents Only: The hourly range for Colorado residents is $26.15 to $46.63. The hourly range for Connecticut / Nevada residents is $28.85 to $51.30. 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 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.

Keywords: UnitedHealth Group, San Antonio , Dental Provider Network Contractor - Telecommute, Healthcare , San Antonio, Texas

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