Remote Physician Network Contracts Manager

UnitedHealthcare; Columbia (MD); Remote; USD 73,000 - 130,000; Full time

Job summary

UnitedHealthcare is seeking a Network Contract Manager to develop and negotiate physician contracts, build a broad access network, and manage unit cost performance to deliver affordable products for customers and business partners. The role involves interpreting customer needs, forecasting renewal strategy, and solving complex problems.

You will work with limited guidance, translate concepts into practice, and coach others while traveling up to 25% within the Mid-Atlantic region.

Qualifications

• 3+ years of experience in a network management-related role, such as contracting.
• 2+ years of experience in fee schedule development using actuarial models.
• 2+ years of experience using financial models in negotiating rates with providers.
• 2+ years of experience in performing network adequacy analysis.
• Intermediate knowledge of claims processing systems and guidelines.
• In-depth knowledge of Medicare reimbursement methodologies, i.e. RBRVS.
• Willing and able to travel up to 25% (w/in the mid-Atlantic territory).
• Driver's License and access to reliable transportation.

Responsibilities

• Assess and interpret customer needs and requirements
• Negotiate physician contracts
• Forecast and plan ongoing physician contract renewal strategy
• Identify solutions to non-standard requests and problems
• Solve moderately complex problems and / or conduct moderately complex analyses
• Work with minimal guidance; seek guidance on only the most complex tasks
• Translate concepts into practice
• Provide explanations and information to others on difficult issues
• Coach, provide feedback, and guide others
• Act as a resource for others with less experience

Skills

Network management

Fee schedule development

Financial modeling

Network adequacy analysis

Claims processing systems

Medicare reimbursement (RBRVS)

Willing to travel

Driver's license

Job description

UnitedHealthcare is seeking a Network Contract Manager to develop and negotiate physician contracts, build a broad access network, and manage unit cost performance to deliver affordable products for customers and business partners. The role involves interpreting customer needs, forecasting renewal strategy, and solving complex problems.

You will work with limited guidance, translate concepts into practice, and coach others while traveling up to 25% within the Mid-Atlantic region.