Network Contract Manager – Facility - Mid-Atlantic Region Preferred

UnitedHealth Group•Columbia, MD

3d•$72,800 - $130,000•Remote

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 Network Contract Manager – Facility, helps develop the provider network of hospitals, ancillary entities and other facilities, yielding a geographically competitive, stable network with broad access, that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for our customers, members and business partners. Network Contract Managers evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining solid business relationships with Hospital or Ancillary providers. This role is responsible for Facility contracting in our Mid-Atlantic region, which may encompass the states of VA, WV, MD and DC across all our business segments - E&I/IEX (Employer & Individual and Individual Exchange), M&R (Medicare & Retirement) and C&S (Community & State). The role may include contracting with hospitals and health systems, ancillary and specialty providers as well as federally qualified health centers and/or rural health centers.

Requirements

2+ years of experience in the managed care industry
2+ years of experience utilizing financial models and analysis in strategy development
Intermediate level of proficiency in Word, Excel, PowerPoint
Willing and able to travel up to 10-15%25 (w/in the mid-Atlantic territory)
Access to reliable transportation and valid US driver’s license

Nice To Haves

Undergraduate degree or equivalent experience
2+ years of experience in negotiating rates with providers
2+ years of experience performing network adequacy analysis
Knowledge of reimbursement methodologies
Knowledge of and prior experience in the healthcare and health insurance landscape
Experience with performance-based contracts
Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
Strong interpersonal skills, establishing rapport and working well with others
Strong customer service skills

Responsibilities

Negotiate hospital, ancillary and other facility contracts for Mid-Atlantic market providers across Virginia, West Virginia, DC and Maryland
Synthesize data provided by our partners in Healthcare Economics to develop and plan provider contract renewal strategies
Regular engagement with assigned providers through meetings (in person and virtual) and regularly scheduled calls to discuss open items, ongoing issues, contractual concerns and/or operational issues
Help manage provider issues, leveraging our internal tools and business partners for assistance
Stay organized, ensuring we’re meeting timelines associated with contract negotiation life cycle (i.e. provider briefing document preparation, strategy development, negotiation, execution)
Manage the lifecycle of the contract and maintain in our systems
Work independently with the support of leadership when necessary