Job Category:
Business/Strategic Management
Reference Code:
315587
Position Type:
Full Time, Employee
UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.

Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.

Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Professional Dental Network Representative--MS - Ridgeland, MS 39157
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
 
If you want more meaning in your career - as a clinician or a business professional - think of OptumHealth as your calling.
 
By providing 60 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals.
 
Develop and maintain the statewide/regional government and commercial dental 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.
 
General Profile
  • 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. 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. Dental representative 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.)


At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.
 


Qualifications:
  • In field 50% of eligible work hours

  • Local and regional travel required

  • General knowledge of health insurance

  • Three to five years experience in provider relations and/or healthcare provider network development and pricing

  • Strong face to face and telephone sales and negotiation skills.

  • Strong Knowledge of end to end provider contracting process

  • Knowledge of provider reimbursement methodology

  • Excellent verbal and written communication skills

  • Ability to development and facilitate network growth and maintenance strategies within territory

  • Excellent documentation and computer skills

  • Ability to work independently or within a team environment to achieve network development objectives

  • Knowledge of key competitors within territory and nationally, their products, and their reimbursement strategies.

  • Report creation experience, the ability to interpret, and take action on trend reporting is critical

  • Familiarity with GeoAccess reporting tools preferred, but not required

  • Knowledge of provider office operations and dental practice management procedures philosophies

  • Undergraduate degree or equivalent experience


 
 
 
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
 


Additional Information:

  • Travel Percentage: 75%

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Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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