Manager, Provider Network Contracting

UnitedHealth Group•Las Vegas, NV

11h•$91,700 - $163,700

About The Position

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The health care system continues to evolve at an accelerated pace, with new models of care and provider networks emerging to better serve patients and communities. UnitedHealth Group plays a leading role in this transformation. As a Manager within the Network Contracting team, you will help lead the development and ongoing support of provider networks while driving unit cost management through financial and network pricing analysis, modeling, and reporting. This role partners closely with business and clinical leaders to build competitive, sustainable networks that deliver affordable, predictable products for customers and business partners.

Requirements

5+ years of experience in a network management or related role managing complex provider networks with accountability for business results
3+ years of experience in provider contracting
2+ years of experience with financial modeling, and medical cost and administrative budget management
2+ years of people leadership or supervisory experience
Expert-level knowledge of Medicare reimbursement methodologies, including RBRVS, DRGs, Ambulatory Surgery Center Groupers, and related payment models
Driver’s License and access to a reliable transportation

Responsibilities

Manage unit cost budgets, target setting, performance reporting, and associated financial and network pricing models
Lead the development of geographically competitive, broad-access, and stable provider networks that achieve unit cost and medical trend objectives
Evaluate and negotiate provider contracts in compliance with company templates, reimbursement standards, and established process controls
Ensure network composition includes an appropriate distribution of provider specialties across markets
Influence and contribute to forecasting, planning, and strategic decision-making activities
Establish and maintain strong business relationships with hospitals, physicians, pharmacies, ancillary providers, and large medical groups
Partner with senior leaders across lines of business to support network strategy and performance
Set team direction, resolve complex issues, and provide coaching, guidance, and performance management for direct reports