Senior Network Contract Manager

UnitedHealth Group; Seattle (WA); On-site; Confidential; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Job summary

UnitedHealth Group is seeking a motivated healthcare networking leader to evaluate and negotiate care contracts while guiding the development of stable provider networks. The ideal candidate will have a background in network management along with provider contracting expertise, and they will thrive in a complex, fast-paced environment.

This role offers a competitive salary ranging from $91,700 to $163,700 annually, and requires a High School Diploma/GED with at least 3 years of relevant experience.

Qualifications

• 3+ years of healthcare network management experience.
• 2+ years of experience in provider contracting.
• Knowledge of Medicare Resource Based Relative Value.

Responsibilities

• Evaluate and negotiate value based care contracts.
• Manage target setting and performance reporting.
• Guide development of stable provider networks.

Skills

Network management experience

Provider contracting knowledge

Negotiation skills

Education

High School Diploma/GED

Undergraduate degree (preferred)

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This leadership role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. You'll guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 6 leader.

Estimated 10% of expected travel within Washington and surrounding areas.

Primary Responsibilities:

• Evaluate and negotiate value based care contracts in compliance with company templates, reimbursement structure standards and other key process controls
• Manage target setting, performance reporting and associated financial models
• Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance, trend management and appropriate distribution of provider specialties
• Review work performed by others and provide recommendations for improvement
• Forecast and plan resource requirements
• Authorize deviations from standards
• Work with c suite and internal leadership in a highly matrixed enrollment
• In this role, you will need to be able to thrive in a demanding, intense, fast-paced environment. In addition, you'll be driving some complex negotiations while striving to ensure accuracy

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED
• 3+ years of experience in a network management-related role within healthcare handling complex network providers with accountability for business results
• 2+ years of experience with provider contracting, which could include VBPs, Accountable Care Organizations, or fee-for-service contracting including in depth knowledge of Medicare Resource Based Relative Value
• Required to reside in either Washington or Oregon

Preferred Qualifications:

• 2+ years experience with value-based provider incentives, which could include Accountable Care Organizations, quality incentives, shared savings/risk, or capitated agreements
• Undergraduate degree

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline:

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.