Senior Provider Network Contract Manager
About The Position
UnitedHealth Group is hiring a Senior Provider Network Contract Manager to guide the development and support of Provider Networks and unit cost management activities through financial and network pricing modeling, analysis, and reporting. The role evaluates and negotiates provider contracts, develops competitive and stable networks, manages unit cost budgets and financial models, reviews others’ work, forecasts resource needs, and authorizes deviations from standards. The position involves complex negotiations and requires accuracy in a demanding, fast-paced environment. The role is fully remote within the United States and follows CST hours, Monday through Friday, 8:00 a.m. to 5:00 p.m. Remote employees must follow UnitedHealth Group’s Telecommuter Policy. The annual salary range is $91,700 to $163,700, based on full-time employment and factors including local labor markets, education, work experience, and certifications. The company offers a comprehensive benefits package, incentive and recognition programs, an equity stock purchase plan, and a 401(k) contribution, subject to eligibility requirements. Candidates must pass a drug test before beginning employment.
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 2 years of experience with provider contracting, including product pricing development and financial modeling for rate decisions.
- In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, and related areas.
- Proven knowledge of provider reimbursement methodologies.
- Advanced proficiency with MS Office Suite (Word, Excel, Outlook, PowerPoint) and SharePoint.
- Excellent verbal and written communication skills, including the ability to clearly convey complex or technical information and understand and interpret complex information from others.
- Ability to work CST hours Monday through Friday, 8:00 a.m. to 5:00 p.m.
- Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.
- Must pass a drug test before beginning employment.
Responsibilities
- Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, and other key process controls.
- Guide development of geographically competitive, broad-access, stable provider networks that achieve unit cost performance, trend management, and appropriate distribution of provider specialties.
- Manage unit cost budgets, target setting, performance reporting, and associated financial models.
- Review work performed by others and recommend improvements.
- Forecast and plan resource requirements.
- Authorize deviations from standards.
- Conduct complex negotiations while ensuring accuracy.
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401(k) contribution
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
