Manager, Provider Network Contracting
About The Position
At UnitedHealthcare, this manager will guide the development and support of provider networks and unit cost management activities through financial and network pricing modeling, analysis, and reporting. The role supports geographically competitive, broad-access, stable networks that meet unit cost performance and trend-management objectives. It also involves building effective relationships with large medical groups and partnering with CEOs from various lines of business. Applicants residing in Louisiana or Mississippi may work remotely, subject to UnitedHealth Group’s Telecommuter Policy.
Requirements
- At least 5 years of experience in a network management-related role handling complex network providers with accountability for business results.
- At least 3 years of supervisory experience.
- At least 2 years of experience contributing to product pricing development and using financial modeling to make rate decisions and manage medical cost and administrative budgets.
- At least 2 years of experience with provider contracting.
- Expert-level knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
- Driver’s license and access to reliable transportation.
- Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.
- Candidates must pass a drug test before beginning employment.
Responsibilities
- Manage unit cost budgets, target setting, performance reporting, and related financial models.
- Guide development of geographically competitive, broad-access, stable networks that achieve unit cost performance and trend-management objectives.
- Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, and other key process controls.
- Ensure network composition includes an appropriate distribution of provider specialties.
- Set team direction, resolve problems, and provide guidance to team members.
- Influence and/or provide input to forecasting and planning activities.
- Build effective relationships with large medical groups and partner with CEOs from various lines of business.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs, subject to eligibility requirements.
- Equity stock purchase, subject to eligibility requirements.
- 401(k) contribution, subject to eligibility requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
