Remote Network Contracts Manager - Pricing & Partnerships

UnitedHealth Group

New York (NY)

Remote

Confidential

Full time

4 days ago
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Job summary

UnitedHealth Group seeks a Network Contract Manager to guide the development and support of Provider Networks and manage unit cost budgets and pricing models. You will negotiate contracts with facilities and physicians, ensuring a broad, affordable network while meeting cost objectives.

The role requires experience with Medicare reimbursement methods and financial modeling, with strong Excel and Office skills.

Qualifications

  • 2+ years of experience in a network management-related role (contracting or provider services).
  • Proven knowledge of provider reimbursement methodologies.
  • In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS).
  • 2+ years of experience using financial models and analysis to negotiate rates with providers.
  • Intermediate knowledge of claims processing systems and guidelines.
  • Advanced Excel with pivot tables; proficient in Microsoft Office Suite and SharePoint.

Responsibilities

  • Manage unit cost budgets, target setting, performance reporting and related financial models.
  • Develop and negotiate network contracts with facilities, physicians, and medical groups.
  • Ensure network composition supports broad access and affordability; manage cost trends.
  • Evaluate contracts per company templates and reimbursement standards; ensure process controls.
  • Explain complex issues to stakeholders and work cross-functionally to resolve problems.
  • Support contracting for facility and physician providers across lines of business.

Skills

Network management
Provider reimbursement
Financial modeling
Excel pivot tables
SharePoint
Contract negotiation

Tools

Excel
PowerPoint
Outlook
Word
SharePoint

Job description

UnitedHealth Group seeks a Network Contract Manager to guide the development and support of Provider Networks and manage unit cost budgets and pricing models. You will negotiate contracts with facilities and physicians, ensuring a broad, affordable network while meeting cost objectives.

The role requires experience with Medicare reimbursement methods and financial modeling, with strong Excel and Office skills.

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