Remote Network Contracts Manager - Provider Networks

UnitedHealthcare; Latham (NY); Hybrid; USD 73,000 - 130,000; Full time

Benefits offered by this job

Telecommuter Policy

Job summary

UnitedHealthcare is seeking a Network Contract Manager to develop and manage a geographically competitive provider network across hospitals, physicians, and ancillary services, ensuring cost-efficient contracts and compliant processes. You will evaluate and negotiate contracts using company templates and reimbursement standards.

The role requires analytical problem solving, strong communication, and the ability to work in a fast-paced environment.

Qualifications

• 4+ years in a network management-related role (contracting or provider services).
• 2+ years in network adequacy analysis.
• Knowledge of NY state and federal reimbursement methodologies.
• Knowledge of fee schedules and using financial models to develop rates.
• Knowledge of claims processing systems and guidelines.
• Driver's License and access to reliable transportation.

Responsibilities

• Assess and interpret customer needs and requirements
• Identify solutions to non-standard requests and problems
• Solve moderately complex problems and/or conduct moderately complex research and analysis
• Work with minimal guidance; seek guidance on only the most complex tasks
• Translate concepts into practice
• Provide explanations and information for others on difficult issues
• Understand and manage to 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

Network adequacy analysis

Reimbursement methodologies

Fee schedules & financial modeling

Claims processing systems

Driver's license & transportation

Job description

UnitedHealthcare is seeking a Network Contract Manager to develop and manage a geographically competitive provider network across hospitals, physicians, and ancillary services, ensuring cost-efficient contracts and compliant processes. You will evaluate and negotiate contracts using company templates and reimbursement standards.

The role requires analytical problem solving, strong communication, and the ability to work in a fast-paced environment.