Network Contract Manager - Remote - FL preferred

UnitedHealth Group•Tampa, FL

5d•$72,800 - $130,000•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. 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 5 leader. If you are located in Florida, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

3+ years of experience in a network management-related role, such as contracting or provider services, or provider data
2+ years of experience in fee schedule development using actuarial models
2+ years of experience using financial models and analysis to negotiate rates with providers
In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)

Nice To Haves

2+ years of experience in performing network adequacy analysis
2+ years of experience with value-based provider incentives, which could include Accountable Care Organizations, quality incentives, shared savings/risk, or capitated agreements

Responsibilities

Manage unit cost budgets, target setting, performance reporting and associated financial models
Support Government Risk Contracting Manager/Director to achieve Risk contracting goals and objectives for all Government LOB’s
Provide day-to-day management of Risk contracting activities, including project management, problem resolution and other activities to drive to Capitation contract execution/maintenance
Work effectively across lines of business and across the organization including interactions with HCE, LOB Leaders, and Capitation Operations
Accurately and effectively communicate Government Risk contracting status to Health Plan leadership
Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
Ensure that network composition includes an appropriate distribution of provider specialties
Provide explanations and information to others on difficult issues
Coach, provide feedback and guide others