Network Contract Manager
About The Position
At UnitedHealthcare, the Network Contract Manager for UHN develops a geographically competitive, broad-access, stable provider network that meets objectives for unit-cost performance and trend management while producing affordable and predictable products for customers and business partners. The role evaluates and negotiates provider contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. It also establishes and maintains business relationships with providers and helps ensure the network includes an appropriate distribution of provider specialties. The position manages unit-cost budgets, target setting, performance reporting, and related financial models. It guides network development, explains difficult issues to others, and works cross-functionally to facilitate issue resolution. The role requires the ability to work Eastern hours, reliable transportation, and a valid U.S. driver’s license. The salary range is $72,800–$130,000 annually for full-time employment. Compensation depends on factors including local labor markets, education, work experience, and certifications. Benefits and incentives are subject to eligibility requirements. Candidates must pass a drug test before beginning employment.
Requirements
- At least 3 years of experience with contract review, creation, and negotiation in a network management-related role.
- At least 2 years of experience using financial models and analysis to negotiate rates with providers.
- Intermediate proficiency using Microsoft Word, Excel, and PowerPoint.
- Intermediate knowledge of claims processing systems and guidelines.
- Willingness and ability to work Eastern hours.
- Access to reliable transportation and a valid U.S. 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 Excel competency, including pivot tables.
Responsibilities
- Manage unit-cost budgets, target setting, performance reporting, and associated financial models.
- Guide development of geographically competitive, broad-access, stable networks that achieve unit-cost performance and trend-management objectives.
- Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, and other key process controls.
- Ensure network composition includes an appropriate distribution of provider specialties.
- Provide explanations and information to others on difficult issues.
- Work cross-functionally to facilitate resolution of issues.
- Establish and maintain business relationships with providers.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs, subject to eligibility requirements.
- Equity stock purchase, subject to eligibility requirements.
- 401(k) contribution, subject to eligibility requirements.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
