Network Contract Manager - Remote

UnitedHealth Group•Denver, CO

16h•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Creating and fine-tuning provider networks helps improve access to health care for millions. It's an outstanding opportunity to have more meaning and purpose in your career. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Hours: Monday through Friday 8-5PM within your local time zone

Requirements

3+ years of experience in provider contracting related role or network management and provider services
3+ years of experience using financial models and analysis to negotiate rates with providers
Proven in-depth knowledge of fee-for-service (FFS), risk sharing, and value-based or “creative” contracting
Proven intermediate level of knowledge of claims processing systems and guidelines
Demonstrable knowledge of managed care contracting concepts, provider network access, and CMS and Medicaid rules
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Responsibilities

Negotiate and prepare facility agreements that are geographically competitive
Achieve objectives for unit cost performance and trend management
Prepare and negotiate value-based, performance-based, and creative contracts for assigned regional facilities
Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, and other key process controls
Collaborates with Provider Network team to ensure that network composition includes an appropriate distribution of provider specialties
Participate in regional and state-based contracting and/or provider network calls; Possess a willingness and ability to provide explanations and information to others on difficult and/or complex contracting issues (i.e. subject matter expert)