Remote Provider Network Contracting Manager

UnitedHealth Group; New Orleans (LA); Remote; USD 92,000 - 164,000; Full time

Job summary

UnitedHealth Group's UnitedHealthcare division seeks a Manager in our Network Contracting team to lead development and support of provider networks and unit cost management through pricing modeling and analysis. You will guide contract negotiations, ensure network breadth, and set performance targets in collaboration with senior leaders.

Based in Louisiana or Mississippi, this role offers remote flexibility and the chance to influence care value for millions while partnering with CEOs and large

Qualifications

• 5+ years of experience in a network management-related role handling complex network providers with accountability for business results.
• 3+ years of supervisory experience.
• 2+ years of experience contributing to the development of product pricing and utilizing financial modeling in making rate decisions and managing a medical cost and administrative budget.
• 2+ years of experience with provider contracting.
• Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
• Driver's License and access to reliable transportation.

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
• Set team direction, resolve problems and provide guidance to members of your team
• Influence and/or provide input to forecasting and planning activities

Skills

Network management

Supervisory experience

Pricing & financial modeling

Provider contracting

Medicare pricing knowledge

Job description

UnitedHealth Group's UnitedHealthcare division seeks a Manager in our Network Contracting team to lead development and support of provider networks and unit cost management through pricing modeling and analysis. You will guide contract negotiations, ensure network breadth, and set performance targets in collaboration with senior leaders.

Based in Louisiana or Mississippi, this role offers remote flexibility and the chance to influence care value for millions while partnering with CEOs and large