Network Contract Manager - Remote

UnitedHealth Group•Maryland Heights, MO

1d•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. You get it. Everyone gets it. The health care system needs to evolve even further than it has, and it must do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. Take on this Network Contract Manager role with UnitedHealth Group and you'll be part of a team that's reshaping how provider networks evolve and how health care works better for millions. As a Network Contract Manager within our network contracting team, you'll guide the development and support of 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 can make and have the resources, backing and opportunities that you'd expect from a Fortune 5 leader. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

3+ years of experience in a network management-related role, such as contracting or provider services
Experience with hospital and physician contracting
Intermediate or better experience using MS Office (Word, Excel, PowerPoint)
Intermediate level of knowledge of claims processing systems and guidelines
Able and willing to travel up to 10%25 throughout KS/MO (onsite meetings, providers, etc.)
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

3+ years of experience using financial models and analysis to negotiate rates with providers
In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
Advanced competency of excel, including pivot tables
Advanced competency of Microsoft Office Suite (Outlook, Word, PowerPoint) and Sharepoint

Responsibilities

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 physician contracting and FQHC / RHC