Senior Network Contract Manager - Remote (PA/DE preferred, working EDT)

UnitedHealth Group•Horsham, PA

2d•$91,700 - $163,700•Remote

About The Position

UnitedHealthcare is hiring a Senior Network Contract Manager to guide provider network development and support, and unit cost management through financial and network pricing modeling, analysis, and reporting. The role focuses on negotiating hospital contracts, developing competitive and stable provider networks, and managing unit cost performance and trends. The position is remote anywhere in the United States, with Pennsylvania or Delaware preferred, and requires working Eastern Time Zone hours. Travel in Pennsylvania and Delaware may be required, potentially up to 25%.

Requirements

At least 4 years of experience in a network management-related role handling complex network providers with accountability for business results.
At least 3 years of experience in an external-facing role representing an organization with clients, vendors, or government officials.
At least 3 years of provider contracting experience, including product pricing development and use of financial modeling to make rate decisions.
At least 2 years of health system contracting experience.
Financial acumen and ability to understand financial modeling and trending.
Ability to work Eastern Time Zone hours.
Willingness and ability to travel as needed in Pennsylvania and Delaware, potentially up to 25%.

Nice To Haves

At least 3 years of supervisory or project lead experience.
At least 2 years contributing to product pricing development, using financial modeling to make rate decisions, and managing medical cost and administrative budgets.
At least 2 years using financial models and analysis to negotiate provider rates.
Hospital contracting experience.
Superior writing skills and ability to convey complex matters clearly to various management levels.
Expert knowledge of CMS reimbursement structures, DRG methodology, Ambulatory Surgery Center Groupers, fee schedule applications, and related topics.
Solid interpersonal skills, including establishing rapport and working well with others.

Responsibilities

Manage hospital contract negotiations to achieve goals related to unit cost budgets, 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 process controls.
Set team direction, resolve problems, and provide guidance to team members.
Influence or provide input to forecasting and planning activities.
Build effective relationships with large hospitals and partner with CEOs from various lines of business.