Network Contract Manager -Remote

UnitedHealth Group•Overland Park, KS

1d•$60,200 - $107,400•Remote

About The Position

The Network Contract Manager role with Optum Whole Health Solutions will call on your knowledge, your energy, and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. In this role, you'll use your solid customer service orientation and knowledge of insurance claims to guide the development and support of behavioral health provider networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune leader.

Requirements

High school diploma or equivalent work experience
4+ years of health care/managed care experience
2+ years of provider relations and/or provider network experience
1+ years of experience with Medicare and Medicaid regulations
Intermediate level of proficiency in claims processing and issue resolution
Proficiency with MS Word, Excel, PowerPoint and Access

Responsibilities

Support development and management of behavioral health provider networks by negotiating and preparing agreements that are geographically competitive
Achieving 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
Collaborate 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)