[Hiring] Manager, Provider Network Contracting @UnitedHealth Group

Role Description

As a manager within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting.

• 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 CEOs from various lines of business as we work on building effective relationships with large medical groups.

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.

Qualifications

• 5+ years of experience in a network management-related role handling complex network providers with accountability for business results
• 3+ years of supervisory experience
• 2+ years of experience contributing to the development of product pricing and utilizing financial modeling in making rate decisions and managing a medical cost and administrative budget
• 2+ years of experience with provider contracting
• Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
• Driver’s License and access to reliable transportation

Requirements

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

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)
• Salary range: $91,700 - $163,700 annually based on full-time employment