Remote-Eligible Network Contracts Manager

UnitedHealth Group; New York (NY); Remote; Confidential; Full time

Job summary

UnitedHealth Group in New York invites applications for a Network Contract Manager role focused on building and negotiating provider networks to lower costs while preserving access. You will oversee budgets, performance reporting, and reimbursement strategies, and you will work with state and provider partners to ensure network adequacy.

The position requires 2+ years in network management, experience with financial models, and knowledge of Medicaid/Medicare, with strong communication skills.

Qualifications

• 2+ years of experience in a network management-related role, such as contracting or provider services.
• Experience using financial models and/or financial analysis to negotiate rates with providers.
• Experience in performing network adequacy analysis.
• Knowledge of Medicaid and/or Medicare.
• Intermediate knowledge of claims processing systems and guidelines.
• Strong verbal and written communication skills; ability to convey complex information clearly.
• Driver's license and access to reliable transportation.

Responsibilities

• Manage unit cost budgets, target setting, performance reporting and financial models.
• Develop geographically competitive, broad access, stable networks.
• Evaluate and negotiate contracts and reimbursement methodologies.
• Maintain network contracts and contracting events; identify savings opportunities.
• Coordinate negotiations and build relationships with providers and state holders.
• Ensure regulatory requirements impacting provider contracts are implemented.
• Engage providers to resolve contract administration issues.
• Provide explanations and information on difficult issues.

Skills

Contract negotiation

Provider networks

Financial modeling

Regulatory compliance

Communication skills

Job description

UnitedHealth Group in New York invites applications for a Network Contract Manager role focused on building and negotiating provider networks to lower costs while preserving access. You will oversee budgets, performance reporting, and reimbursement strategies, and you will work with state and provider partners to ensure network adequacy.

The position requires 2+ years in network management, experience with financial models, and knowledge of Medicaid/Medicare, with strong communication skills.