Network Contract Manager - Remote commutable to TN preferred

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.As a Network Contract Manager, you will develop the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) 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 Hospital, Physician, Pharmacy, or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties.Get ready for some significant challenge.
This is an intense, fast - paced environment that can be demanding.
In addition, there are some data challenges and unique problems that need to be solved related to gaps in the process.You'll enjoy the flexibility to work remotely
• from anywhere within the U.S.
as you take on some tough challenges.
Primary Responsibilities:
Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls with a concentration in Physician/Medical Groups, FQHC/RHC, and Urgent CareManage unit cost budgets, target setting, performance reporting and associated financial models Guide development of geographically competitive, broad access, stable networks that achieves objectives for unit cost performance and trend managementEnsure that network composition includes an appropriate distribution of provider specialtiesForecast and plan ongoing contract renewal strategyAssess and interpret customer needs and requirementsIdentify solutions to non-standard requests and problemsWork with minimal guidance; seek guidance on only complex tasksAct as a resource for othersYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:
4+ years of experience in a network management-related role, such as contracting or provider servicesKnowledge of Medicare reimbursement methodologies, i.e., Resource Based Relative Value System (RBRVS)Proficiency with MS ExcelPreferred Qualifications:
2+ years of experience with provider contracting2+ years of experience in fee schedule development using actuarial models2+ years of experience utilizing financial models and analysis to negotiate rates with providers1+ years of experience in performing network adequacy analysisExperience with performance-based contractsIntermediate level of knowledge of claims processing systems and guidelinesProven excellent verbal and written communication skills
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter PolicyCalifornia, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only:
The salary range for this role is $70,200 to $137,800 annually.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
UnitedHealth Group complies with al minimum wage laws as applicable.
In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.Application Deadline:
This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected.
Job posting may come down early due to volume of applicants.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.
We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere:
UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace.
Candidates are required to pass a drug test before beginning employment.
Brand:
UnitedHealthcare NetworksJob ID:
2224395Employment Type:
Full-timeJob Area:
Network Contracting & PricingPosted Date:
13/06/2024