Network Contract Manager - Remote
About The Position
The Network Contract Manager develops and maintains a geographically competitive, broad-access, stable provider network—including physicians, hospitals, pharmacies, ancillary groups, and facilities—that supports unit-cost performance and trend-management objectives and provides affordable, predictable products for customers and business partners. The role evaluates and negotiates provider contracts in compliance with company templates, reimbursement standards, and other process controls. It also builds and maintains strong provider relationships and helps ensure appropriate distribution of provider specialties. This is a demanding, fast-paced role involving data challenges and process gaps. The position is remote, with preference for candidates who can commute to New York or the Northeast region of the United States. An estimated 5–10%25 of travel within New York is required. Remote employees must follow UnitedHealth Group’s Telecommuter Policy.
Requirements
- At least 4 years of experience in a network management-related role, such as contracting or provider services.
- At least 2 years of experience and understanding performing network adequacy analysis.
- Intermediate knowledge and understanding of New York state and federal reimbursement methodologies.
- Intermediate knowledge and understanding of fee schedules and use of financial models and analysis to develop provider rates.
- Intermediate knowledge of claims processing systems and guidelines.
- Driver’s license and access to reliable transportation.
Nice To Haves
- Excellent verbal and written communication skills, including the ability to convey complex or technical information clearly and concisely and to understand and interpret complex information from others.
- Solid interpersonal skills, including establishing rapport and working well with others.
- Solid customer service skills.
Responsibilities
- Assess and interpret customer needs and requirements.
- Identify solutions to non-standard requests and problems.
- Solve moderately complex problems and conduct moderately complex research and analysis.
- Work with minimal guidance and seek guidance for only the most complex tasks.
- Translate concepts into practice.
- Provide explanations and information to others on difficult issues.
- Understand and 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.
- Coach others, provide feedback, and guide their work.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase.
- 401(k) contribution, subject to eligibility requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
