Network Contract Manager - Remote - Central Time Zone hours

UnitedHealth Group•Maryland Heights, MO

11d•$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 equitable. 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. And leaders like UnitedHealth Group are playing a lead role. Here’s where you come in. As member of our network contracting team, you’ll help develop and support Provider Networks and guide 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 4 leader. Want to make an impact in providing access to quality care and services for those who need it most? As member of our network contracting team, you’ll help develop and support Provider Networks, ensuring those who need care are able to do so. As you do, you’ll discover the impact you want and the resources, backing and opportunities that you’d expect from a Fortune 4 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
2+ years of experience using financial models and analysis to negotiate rates with providers
Proven experience with provider contracting
Intermediate experience using MS Word, MS Excel
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Candidates are required to pass a drug test before beginning employment.

Nice To Haves

Experience using financial models and analysis to negotiate rates with providers
Experience in performing network adequacy analysis
Intermediate understanding of payment methodologies for all provider types
Basic knowledge of Medicare and Medicaid
Basic level of knowledge of claims processing systems and guidelines

Responsibilities

Manage contracting efforts for network expansion projects
Predict emerging customer needs and develop innovative solutions to meet them
Help develop 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
Respond to the needs of the network as it relates to the contract
Work with ancillary providers to manage, collect and analyze provider data, updating and loading provider data, and resolving any escalated issues with the clients.