Senior Network Contract Manager - Remote
UnitedHealth Group•Tampa, FL
•$91,700 - $163,700•Remote
About The Position
The Senior Network Contract Manager guides the development and support of provider networks and unit cost management activities through financial and network pricing modeling, analysis, and reporting. The role manages unit cost budgets and performance, develops geographically competitive and stable networks, and evaluates and negotiates provider contracts. It requires handling complex negotiations and working accurately in a demanding, fast-paced environment. The position is remote for candidates located in Tampa, Florida, with travel within Florida of up to 25%.
Requirements
- At least 5 years of experience in a network management-related role handling complex network providers, with accountability for business results.
- At least 5 years of experience in the health care industry.
- At least 3 years of provider contracting experience, including developing product pricing and using financial modeling to make rate decisions.
- Driver’s license and access to reliable transportation.
- Ability and willingness to travel up to 25% within Florida.
- Ability to thrive in a demanding, intense, fast-paced environment.
Nice To Haves
- Experience working with large healthcare systems in Florida.
- In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, and related concepts.
Responsibilities
- Manage unit cost budgets, target setting, performance reporting, and associated financial models.
- Guide development of geographically competitive, broad-access, stable networks that meet unit cost performance and trend-management objectives and appropriately distribute provider specialties.
- Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, and other key process controls.
- Forecast and plan resource requirements.
- Ensure facility and ancillary network composition meets network adequacy requirements.
- Explain difficult issues and provide information to others.
- Take initiative and use problem-solving skills to resolve issues.
- Drive complex negotiations while ensuring accuracy.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase plan.
- 401(k) contribution.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
