[Hiring] Senior Healthcare Provider Network Contract Manager @UnitedHealth Group

Role Description

In this leadership role with UnitedHealth Group, you will guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. You will need to thrive in a demanding, intense, fast-paced environment while driving complex negotiations and ensuring accuracy.

• 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, trend management, and appropriate distribution of provider specialties
• Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, and other key process controls
• Review work performed by others and provide recommendations for improvement
• Forecast and plan resource requirements
• Authorize deviations from standards

Qualifications

• 5+ years of experience in a network management-related role handling complex network providers with accountability for business results
• 5+ years of experience in the health care industry
• 2+ years of experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions
• Proven in-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
• Driver’s License and access to reliable transportation
• *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Requirements

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

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.