Network Contract Manager
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Estimated 10-25% of expected travel within Washington and surrounding areas. In this role, you will need to be able to thrive in a demanding, intense, fast-paced environment. In addition, you'll be driving some complex negotiations while striving to ensure accuracy. 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.
Requirements
- 3+ years of experience in a network management-related role within healthcare handling complex network providers with accountability for business results
- 2+ years of experience with provider contracting, which could include VBPs, Accountable Care Organizations, or fee-for-service contracting including in depth knowledge of Medicare Resource Based Relative Value
- Required to reside in either Washington or Oregon
Nice To Haves
- 2+ years experience with value-based provider incentives, which could include Accountable Care Organizations, quality incentives, shared savings/risk, or capitated agreements
- Undergraduate degree
Responsibilities
- Evaluate and negotiate value based care contracts in compliance with company templates, reimbursement structure standards and other key process controls
- Manage 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
- Review work performed by others and provide recommendations for improvement
- Forecast and plan resource requirements
- Authorize deviations from standards
- Work with c suite and internal leadership in a highly matrixed enrollment
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
