Network Contract Manager, UHN - Remote

UnitedHealth Group•Fort Washington, PA

4d•$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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Network Contract Manager for UHN develops the provider network yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management and produces an affordable and predictable product for customers 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 providers and ensuring the network composition includes an appropriate distribution of provider specialties. If you reside in EST, CST, or MST, you’ll enjoy the flexibility to work remotely as you take on some tough challenges. Applicants must be willing to work Monday-Friday 8-5 EST.

Requirements

3+ years of experience with contract review, creation, and negotiation in a network management-related role
2+ years of experience using financial models and analysis to negotiate rates with providers
Intermediate level of proficiency using MS Office Word, Excel and PowerPoint
Intermediate level of knowledge of claims processing systems and guidelines
Willing and able to work Eastern hours
Access to reliable transportation and valid US driver’s license

Nice To Haves

In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
Experience conducting provider meetings and negotiations in-person or virtually
Advanced competency of Excel, including pivot tables
Willing and able to travel up to 10% +/- depending on business need (PA/DE, onsite meetings, providers, etc.)

Responsibilities

Primarily responsible for Physician Contracting supporting the PA/DE markets
Managing relationships with providers
Manage unit cost budgets, target setting, performance reporting and associated financial models
Guide development of the network and negotiate agreements with Physicians and Medical Groups yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management and produces an affordable and predictable product for customers and business partners
Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
Provide explanations and information to others on difficult issues
Work cross functionally to facilitate resolution of issues
Position will support physicians, FQHC/RHC, urgent care and other ancillary contracting for all lines of business as deemed necessary