Sr Ntwk Contract Mgr

UnitedHealth Group•Seattle, WA

3d•$91,700 - $163,700•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 more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This leadership role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. 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 want and the resources, backing and opportunities that you'd expect from a Fortune 6 leader. Estimated 10%25 of expected travel within Washington and surrounding areas. In this role, you will need to be able to thrive in a demanding, intense, fast-paced environment. In addition, you'll be driving some complex negotiations while striving to ensure accuracy You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in

Requirements

High School Diploma/GED
3+ years of experience in a network management-related role within healthcare handling complex network providers with accountability for business results
2+ years of experience with provider contracting, which could include VBPs, Accountable Care Organizations, or fee-for-service contracting including in depth knowledge of Medicare Resource Based Relative Value
Required to reside in either Washington or Oregon

Nice To Haves

2+ years experience with value-based provider incentives, which could include Accountable Care Organizations, quality incentives, shared savings/risk, or capitated agreements
Undergraduate degree
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Responsibilities

Evaluate and negotiate value based care contracts in compliance with company templates, reimbursement structure standards and other key process controls
Manage target setting, performance reporting and associated financial models
Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance, trend management and appropriate distribution of provider specialties
Review work performed by others and provide recommendations for improvement
Forecast and plan resource requirements
Authorize deviations from standards
Work with c suite and internal leadership in a highly matrixed enrollment