Dental Network Recruiters
What makes your career greater with UnitedHealth Group? Growth opportunities among the variety of product lines and making an impact on the healthcare system ensures it will always be challenging and exciting.
UnitedHealthcare Employer Individual 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.
When you work with UnitedHealthcare Employer Individual, what you do matters. It's that simple...and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
Develop and maintain the Commercial Dental PPO 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.
Focused recruitment territory for these openings:
-Overall market level expansion responsibilities in Arizona, Colorado or California (Orange, Riverside, San Bernandino Counties only) 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.
National /or Client Specific Network Development
-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. 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.)
General Requirements
-In field 35% of eligible work hours
-Travel, locally, regionally, and nationally
Regardless of your role at UnitedHealthcare Employer Individual, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.
Requirements:
-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
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.