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Entry Level Provider Network Development Jobs in Georgia

Job Overview This role provides project management for leasing, zoning, permitting, regulatory ... The role supports network development and modification activities including real estate ...

Provide network technical advice and assistance during the planning phase of a deployment or ... in the development and execution of Information Assurance (IA) training for deployed units.

Training is provided for entry-level candidates who are driven and teachable enough to learn our ... Comprehensive training and ongoing professional development. * Recognition & rewards : Company-paid ...

Training is provided for entry-level candidates who are driven and teachable enough to learn our ... Comprehensive training and ongoing professional development. * Recognition & rewards : Company-paid ...

Training is provided for entry-level candidates who are driven and teachable enough to learn our ... Comprehensive training and ongoing professional development. * Recognition & rewards : Company-paid ...

Training is provided for entry-level candidates who are driven and teachable enough to learn our ... Comprehensive training and ongoing professional development. * Recognition & rewards : Company-paid ...

Training is provided for entry-level candidates who are driven and teachable enough to learn our ... Comprehensive training and ongoing professional development. * Recognition & rewards : Company-paid ...

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Client Representative - Entry Level Sales About 3MP Atlanta 3MP Atlanta is a fast-growing sales and ... Leadership development & mentoring * Team events, travel opportunities, and networking * Positive ...

Be Seen First

Client Representative - Entry Level Sales About 3MP Atlanta 3MP Atlanta is a fast-growing sales and ... Leadership development & mentoring * Team events, travel opportunities, and networking * Positive ...

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Entry Level Provider Network Development information

What is an Entry Level Provider Network Development role?

An Entry Level Provider Network Development role involves assisting in building and maintaining relationships between healthcare providers and health insurance companies. Professionals in this position help with tasks such as recruiting new providers, ensuring contract compliance, and gathering necessary documentation. They support the network team by performing data entry, preparing reports, and communicating with providers to resolve any issues. This role serves as a foundation for understanding the healthcare network process and often provides opportunities for career growth within the industry.

What are some common challenges faced by entry level professionals in provider network development, and how can they overcome them?

Entry level professionals in provider network development often face challenges such as building relationships with healthcare providers, navigating complex insurance regulations, and quickly learning industry terminology. To overcome these hurdles, it helps to proactively seek mentorship from experienced colleagues, attend trainings or workshops, and regularly review internal documentation and industry guidelines. Strong communication skills and a willingness to ask questions can also make it easier to collaborate with team members and external partners, leading to greater confidence and success in the role.

What are the key skills and qualifications needed to thrive as an Entry Level Provider Network Development professional, and why are they important?

To thrive as an Entry Level Provider Network Development professional, you need a basic understanding of healthcare systems, strong analytical skills, and a bachelor's degree in healthcare administration, business, or a related field. Familiarity with provider management software, claims processing systems, and proficiency in Microsoft Excel are commonly required technical competencies. Strong interpersonal communication, negotiation skills, and attention to detail help you build relationships with providers and manage contracts effectively. These skills are crucial for ensuring robust provider networks, supporting organizational goals, and maintaining compliance with regulatory requirements.

What is the difference between Entry Level Provider Network Development vs Entry Level Provider Relations Coordinator?

AspectEntry Level Provider Network DevelopmentEntry Level Provider Relations Coordinator
CredentialsTypically requires a bachelor's degree in healthcare, business, or related fieldSimilar educational background, often with healthcare or business focus
Work EnvironmentFocuses on building and managing provider networks, analyzing data, and strategic planningCenters on maintaining provider relationships, communication, and resolving provider issues
Employer & Industry UsageUsed in health insurance companies, managed care organizations, and healthcare networksCommon in insurance companies, healthcare providers, and provider organizations

While both roles involve healthcare provider interactions, Entry Level Provider Network Development emphasizes network expansion and strategic planning, whereas Entry Level Provider Relations Coordinator focuses on maintaining provider relationships and communication. Both roles require similar educational backgrounds and are vital in healthcare organizations, but they differ in daily responsibilities and focus areas.

What are the most commonly searched types of Provider Network Development jobs in Georgia? The most popular types of Provider Network Development jobs in Georgia are:
What cities in Georgia are hiring for Entry Level Provider Network Development jobs? Cities in Georgia with the most Entry Level Provider Network Development job openings:
Network Pricing Consultant - Remote (CT/ET preferred)

Network Pricing Consultant - Remote (CT/ET preferred)

UnitedHealth Group

Atlanta, GA • Remote

$72K - $130K/yr

Full-time

Retirement

Re-posted 5 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 145 frontline employees who took The Breakroom Quiz

191st of 885 rated healthcare providers


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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

 

The Network Pricing Consultant supports and validates Provider Network (physicians, hospitals, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Network Pricing Consultant conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Responsibilities also include managing unit cost budgets, target setting, performance reporting, and associated financial models.

You'll enjoy the flexibility to work remotely* from anywhere within the U.S., preferably in CST or EST time zones, as you take on some tough challenges.  

 

Primary Responsibilities:

  • Lead the design and creation of analytic models to evaluate financial impact of business strategies
  • Lead the development of strategic initiatives aimed at reducing the total cost of care
  • Lead projects to completion by contributing to database creation, statistical modeling and financial reports
  • Concisely summarize and communicate the results of complex analytics
  • Influence pricing strategies and network configuration decisions using a data driven approach
  • Provide consultative advice on use of data as subject matter expert and interpret/summarize analytical findings
  • Evaluate financial impacts of network configurations across hospital, ancillary and physician provider types
  • Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
  • Analyze and summarize broad impact of changes in network configurations to premium price differentials
  • Work with cross-functional teams across the organization to make strategic decisions supported by data
  • Review work performed by others and recommend improvements

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:

  • Bachelor's degree in business, economics, statistics, mathematics, or a related degree
  • 2 years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools to perform financial impact analytics and data manipulation
  • 1 years of analytical experience in financial analysis, health care pricing, network management, healthcare economics or related discipline
  • Advanced level proficiency with MS Excel
  • Willing and able to work Eastern Standard Time Zone hours

 

Preferred Qualifications: 

  • 3 years of experience working with large databases to produce a focused analysis for data manipulation and reporting
  • 1 years of experience with provider payment methodologies and healthcare products
  • 1 years of hospital, ancillary, and physician modeling experience
  • Experience with medical coding (CPT, DRG, ICD-9, ICD-10, etc.)
  • Proven excellent written and verbal communication, time/project management, problem solving, and organization skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.  

 

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.    

 

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.  


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