Network Contract Manager - Remote

UnitedHealthcare; New York (NY); Remote; USD 73,000 - 130,000; Full time

Job summary

UnitedHealthcare is seeking a Network Contract Manager to oversee provider networks and unit cost management. This remote role spans the U.S. and emphasizes contract negotiation and financial modeling to support pricing and network strategy.

The position requires 2+ years in network management, knowledge of Medicare RBRVS, and proficiency in Excel and MS Office. You will influence network composition and cost outcomes while collaborating across teams.

Qualifications

• 2+ years of experience in a network management-related role, such as contracting or provider services.
• Proven knowledge of provider reimbursement methodologies.
• Demonstrated knowledge of Medicare Resource Based Relative Value System (RBRVS).
• Experience using financial models to negotiate rates with providers.
• Advanced competency of Excel, including pivot tables, and MS Office Suite.

Responsibilities

• 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.
• 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.
• 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.

Skills

Network management experience

Provider reimbursement knowledge

Medicare RBRVS knowledge

Contract negotiation

Tools

Excel

SharePoint

MS Office Suite

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Network Contract Manager - Remote (2373653)

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

You get it. Everyone gets it. 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. As a Network Contract Manager within our network contracting team, you'll guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. 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.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

• 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
• 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

You’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

• 2+ years of experience in a network management-related role, such as contracting or provider services
• Proven knowledge of provider reimbursement methodologies
• Demonstrated in-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)

Preferred Qualifications

• 2+ years of experience using financial models and analysis to negotiate rates with providers
• Intermediate level of knowledge of claims processing systems and guidelines
• Advanced competency of excel, including pivot tables
• Advanced competency of Microsoft Office Suite (Outlook, Word, PowerPoint) and SharePoint
• Demonstrated experience negotiating contracts with hospital, physician, and/or ancillary providers

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Job

Provider Contracting & Network Development

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

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.