[Hiring] Network Contract Manager @UnitedHealth Group

Role Description

Creating and fine-tuning provider networks helps improve access to health care for millions. It's an outstanding opportunity to have more meaning and purpose in your career.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Hours: Monday through Friday 8-5PM within your local time zone

Primary Responsibilities:

• Negotiate and prepare facility agreements that are geographically competitive
• Achieve objectives for unit cost performance and trend management
• Prepare and negotiate value-based, performance-based, and creative contracts for assigned regional facilities
• Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, and other key process controls
• Collaborate with Provider Network team to ensure that network composition includes an appropriate distribution of provider specialties
• Participate in regional and state-based contracting and/or provider network calls; possess a willingness and ability to provide explanations and information to others on difficult and/or complex contracting issues (i.e. subject matter expert)

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

• 3+ years of experience in provider contracting related role or network management and provider services
• 3+ years of experience using financial models and analysis to negotiate rates with providers
• Proven in-depth knowledge of fee-for-service (FFS), risk sharing, and value-based or “creative” contracting
• Proven intermediate level of knowledge of claims processing systems and guidelines
• Demonstrable knowledge of managed care contracting concepts, provider network access, and CMS and Medicaid rules

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)

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.