Network Contract Manager, UHN - Remote (Central Time Zone)

UnitedHealth Group•West Des Moines, IA

10d•$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 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. Take on this Network Contract Manager role with UnitedHealth Group and you'll be part of a team that's reshaping how provider networks evolve and how health care works better for millions. The Network Contract Manager for UHN develops the provider network yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management and produces an affordable and predictable product for customers and business partners. Network Contract Managers evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining solid business relationships with providers and ensuring the network composition includes an appropriate distribution of provider specialties. As you do, you'll discover the impact you can make and have the resources, backing and opportunities that you'd expect from a Fortune 5 leader.

Requirements

2+ years of experience in a network management-related role, such as contracting or provider services
2+ years of experience utilizing financial models and analysis in strategy development
Proven knowledge of provider reimbursement methodologies
Advanced level of proficiency using MS Office Suite (Word, Excel, Outlook, PowerPoint) and SharePoint
Proven excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others
Ability to work CST hours of Monday - Friday 8:00 am - 5:00 pm

Nice To Haves

2+ years of experience negotiating rates with providers
Experience conducting provider meetings in-person or virtually
In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
Intermediate level of knowledge of claims processing systems and guidelines
Experience using AI tools (ChatGPT, CoPilot, etc.)
Willing and able to travel up to 10%25 +/- depending on business need (Iowa onsite meetings, providers, etc.)

Responsibilities

Managing relationships with providers
Manage unit cost budgets, target setting, performance reporting and associated financial models
Guide development of the network and negotiate agreements with facility, physicians, and medical groups yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management and produces an affordable and predictable product for customers and business partners
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
Maintain existing network contracts and any contracting events that occur during the term of the agreement while generating savings opportunities for affordability initiatives
Provide explanations and information to others on difficult issues
Work cross functionally to facilitate resolution of issues
Position will support all contracting of primarily facility and physician providers for all lines of business