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Become A Network Contractor

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Working As A Network Contractor

  • Interacting With Computers
  • Getting Information
  • Identifying Objects, Actions, and Events
  • Making Decisions and Solving Problems
  • Communicating with Supervisors, Peers, or Subordinates
  • Mostly Sitting

  • Repetitive

  • $75,670

    Average Salary

What Does A Network Contractor Do At Unitedhealth Group

* Responsible for identifying, recruiting, contracting, and retaining a provider network (Dental) in geographic area within established guidelines to meet network needs Ensures provider database and documentation is up - to - date, accurate, and complete and submitted promptly and accurately Prioritize and organize own work to meet deadlines Provide explanations and information to others on topics within area of expertise Position / Candidate will be report to the San Antonio, TX Office Get ready for a high impact role.
* You’ll be tasked with working in conjunction with our national clinics and hospitals to manage, collect and analyze provider data, updating and loading provider data and resolving any escalated issues with the clients

What Does A Network Contractor Do At Blue Cross Blue Shield of Massachusetts

* Successfully execute contracting initiatives in accordance with BCBSMA business requirements, quality incentive programs and unit cost trend budget requirements.
* Lead the negotiation of complex risk sharing and financial arrangement with physician organizations and hospitals, ensuring that both the business and financial objectives are achieved in all initiatives.
* Responsible for the accuracy of all contract proposals and rate proposals and final contracts.
* Develop, manage and execute global contracting strategy and/or other progressive contracting strategies for assigned provider portfolio.
* Develop and negotiate new and innovative contracting approaches and methodologies for all products that will maximize BCBSMA’s competitive position and support its strategic vision of Making Quality Care More Affordable.
* Maximize predictable rates and meet or exceed financial goals.
* Ensure the transition of new contracts to BCBSMA contract management team.
* Work effectively with key departments to ensure that contracting initiatives are consistent with other corporate initiatives – fully integrate strategies and operations across departments including Legal, Actuarial, Provider Services
* Participate in the development of creative contracting strategies, reimbursement structures, networks and approaches
* Facilitate cross functional negotiation teams.
* Develop and advance hospital and global provider contracts and direct required financial analyses to support negotiations
* Qualifications (Knowledge, Skills and Abilities)
* Solid understanding of global, hospital and physician contract development; demonstrated negotiation of complex risk deals; demonstrated strength in finance to support financial arrangements and analysis; demonstrated understanding of risk sharing arrangements and health care reimbursement methods and strategies.
* Experience as primary negotiator with large, complex hospital and physician organizations.
* Demonstrated ability to influence, negotiate, and operate collaboratively as part of a team.
* Excellent written/verbal communication skills; effective presentation skills; project management and planning skills critical.
* Strong leadership and interest in developing management skills

What Does A Network Contractor Do At Unitedhealth Group

* Manage unit cost budgets, target setting, performance reporting and associated financial models Predict emerging customer needs and develop innovative solutions to meet them Help develop geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, and other key process controls Ensure that network composition includes an appropriate distribution of provider specialties Get ready for a high impact role.
* You'll be tasked with working in conjunction with our national clinics and hospitals to manage, collect and analyze provider data, updating and loading provider data and resolving any escalated issues with the clients

What Does A Network Contractor Do At Unitedhealth Group

* Manage unit cost budgets, target setting, performance reporting and associated financial models Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls Ensure that network composition includes an appropriate distribution of provider specialties Set team direction, resolve problems and provide guidance to members of your team Influence and/or provide input to forecasting and planning activities This role is all about challenge and relationships.
* You’ll partner with CEO's from various lines of business as we work on building effective relationships with large medical groups

What Does A Network Contractor Do At Unitedhealth Group

* Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management Develop and execute strategies for a function or discipline that span a large business unit or multiple markets/site Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency Direct others to resolve business problems that affect multiple functions or disciplines Direct work that impacts entire functions and/or customer accounts (internal or external) Relocation assistance may be provided This challenging, high-profile role will put your skills and experience to the test daily.
* You'll be charged with leading the efforts to achieve synergy targets through contracting with our network providers.
* In addition, you will lead the high-performing team that supports the UnitedHealthcare client relationship for network/provider management

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How To Become A Network Contractor

Most employers require network and computer systems administrators to have a bachelor’s degree in a field related to computer or information science. Others may require only a postsecondary certificate.

Education

Although some employers require only a postsecondary certificate, most require a bachelor’s degree in a field related to computer or information science. There are degree programs that focus on computer network and system administration. However, because administrators work with computer hardware and equipment, a degree in computer engineering or electrical engineering usually is acceptable as well. Programs in these fields usually include classes in computer programming, networking, or systems design.

Because network technology is continually changing, administrators need to keep up with the latest developments. Many continue to take courses throughout their careers and attend information technology (IT) conferences to keep up with the latest technology. Some businesses require that an administrator get a master’s degree.

Licenses, Certifications, and Registrations

Certification programs are generally offered directly from vendors or from vendor-neutral certification providers. Certification validates knowledge and best practices required from network and computer systems administrators. Companies may require their network and computer systems administrators to be certified in the product they use. Microsoft and Cisco offer some of the most common certifications.

Other Experience

To gain practical experience, many network administrators participate in internship programs while in school.

Advancement

Network administrators can advance to become computer network architects. They can also advance to managerial jobs in information technology (IT) departments, such as computer and information systems managers.

Important Qualities

Analytical skills. Administrators need analytical skills to evaluate network and system performance and determine how changes in the environment will affect them.

Communication skills. Administrators must be able to describe problems and their solutions to non-IT workers.

Computer skills. Administrators oversee the connections of many different types of computer equipment and must ensure that they all work together properly.

Multitasking skills. Administrators may have to work on many problems and tasks at the same time.

Problem-solving skills. Administrators must be able to quickly resolve any problems that arise with computer networks.

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Network Contractor jobs

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Top Skills for A Network Contractor

WindowsXPSeriesRoutersCustomerServiceSetupProviderNetworkProviderContractsRemoteSitesTroubleshootInternetMedicareAdvantageFiberHealthPlanFirewallTcp/IpMedicaidTVPNCopperNetworkInfrastructureCitrixNovell

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Top Network Contractor Skills

  1. Windows XP
  2. Series Routers
  3. Customer Service
You can check out examples of real life uses of top skills on resumes here:
  • Project: Responsible for remote troubleshooting and support of Windows XP mobility tablets and Android tablets.
  • Configured Cisco 2500, 2511, 7000 series routers and Adtran DSU for T1 connectivity.
  • Define and understand internal operations and external customer service requirements.
  • Configured workstations, setup user accounts in Windows NT and Microsoft Exchange, trained staff in the use of Microsoft Outlook.
  • Facilitated the development of the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.)

Top Network Contractor Employers

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