Remote Network Contracts Lead (Healthcare)

UnitedHealth Group; Houston (TX); Remote; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group's UnitedHealthcare division seeks a Network Contract Manager to help build a geographically competitive, broad-access network and to negotiate contracts that balance cost with value. You will partner with physicians, hospitals and other providers to ensure coverage aligns with company guidelines and patient needs.

This role offers remote work from anywhere in the U.S., a comprehensive benefits package, and opportunities to influence reimbursement strategies and network

Qualifications

• 3+ years of experience in a network management-related role, such as contracting or provider services.
• 3+ years of experience in fee schedule development using actuarial models.
• 3+ years of experience in performing network adequacy analysis.
• 2+ years of experience using financial models and analysis to negotiate rates with providers.
• In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS).
• Intermediate level of knowledge of claims processing systems and guidelines.

Responsibilities

• Manage unit cost budgets, target setting, performance reporting and associated financial models
• Guide development of geographically competitive, broad access, stable networks that achieve 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
• Coach, provide feedback and guide others

Skills

Network management

Contracting

Provider services

Actuarial models

Network adequacy

Financial modeling

RBRVS knowledge

Claims processing knowledge

Education

Undergraduate degree

Job description

UnitedHealth Group's UnitedHealthcare division seeks a Network Contract Manager to help build a geographically competitive, broad-access network and to negotiate contracts that balance cost with value. You will partner with physicians, hospitals and other providers to ensure coverage aligns with company guidelines and patient needs.

This role offers remote work from anywhere in the U.S., a comprehensive benefits package, and opportunities to influence reimbursement strategies and network