Remote Network Contract Manager - Provider Contracting

Taleo; Fort Washington (Montgomery County); Remote; USD 73,000 - 130,000; Full time

Benefits offered by this job

Telecommuter Policy

Job summary

UnitedHealth Group is seeking a Network Contract Manager to support UHN, with remote work options across EST, CST, or MST. The role focuses on contracting, provider relationships, and financial modeling to optimize unit costs and access.

You will negotiate agreements with physicians and medical groups to deliver a broad, stable network and an affordable product for customers. The position requires 3+ years in contract review/negotiation, 2+ years in financial modeling, and proficiency with MS

Qualifications

• 3+ years of experience with contract review, creation, and negotiation in a network management-related role.
• 2+ years of experience using financial models and analysis to negotiate rates with providers.
• Intermediate level of proficiency using MS Office Word, Excel and PowerPoint.
• Intermediate level of knowledge of claims processing systems and guidelines.
• Willing and able to work Eastern hours.
• Access to reliable transportation and valid US driver’s license.

Responsibilities

• Primarily responsible for Physician Contracting supporting the PA/DE markets.
• Managing relationships with providers.
• Manage unit cost budgets, target setting, performance reporting and associated financial models.
• Guide development of the network and negotiate agreements with 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.
• Provide explanations and information to others on difficult issues.
• Work cross functionally to facilitate resolution of issues.
• Position will support physicians, FQHC/RHC, urgent care and other ancillary contracting for all lines of business as deemed necessary.

Skills

Contract review

Contract negotiation

Financial models

MS Office (Word, Excel, PowerPoint)

Claims processing knowledge

Eastern hours

Driver's license/transportation

Job description

UnitedHealth Group is seeking a Network Contract Manager to support UHN, with remote work options across EST, CST, or MST. The role focuses on contracting, provider relationships, and financial modeling to optimize unit costs and access.

You will negotiate agreements with physicians and medical groups to deliver a broad, stable network and an affordable product for customers. The position requires 3+ years in contract review/negotiation, 2+ years in financial modeling, and proficiency with MS