Senior Provider Network Contract Manager - Remote

UnitedHealth Group

West Des Moines (IA)

À distance

USD 92 000 - 164 000

Plein temps

Il y a 3 jours
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Avantages offerts par ce poste

Telecommuter policy
401k contribution
Equity stock purchase
Incentive programs

Résumé du poste

UnitedHealthcare, part of UnitedHealth Group, seeks a senior network management leader to guide provider networks and unit cost management through pricing modeling and reporting. You'll negotiate contracts, build competitive networks, and lead financial analyses.

This remote role offers CST hours Mon-Fri 8:00 am–5:00 pm and a comprehensive benefits package, including telecommuter policy and 401k with stock options; you will impact care affordability and access.

Qualifications

  • 5+ years in a network management role handling complex network providers with accountability for business results.
  • 5+ years in the health care industry.
  • 2+ years of experience with provider contracting including pricing and financial modeling.
  • Knowledge of Medicare RBRVS, DRGs and related groupers.
  • Proven knowledge of provider reimbursement methodologies.
  • Advanced proficiency with MS Office Suite and SharePoint.
  • Excellent verbal and written communication; ability to convey complex information clearly.
  • Ability to work CST hours Monday to Friday, 8:00 am – 5:00 pm.

Responsabilités

  • Evaluate and negotiate contracts per company templates and standards.
  • Guide development of geographically competitive, broad access networks.
  • Manage unit cost budgets, target setting, and financial models.
  • Review work and provide recommendations for improvement.
  • Forecast and plan resource requirements.
  • Authorize deviations from standards.

Connaissances

Network management
Healthcare industry knowledge
Provider contracting
Financial modeling
Communication skills
MS Office proficiency
CST hours coordination

Outils

MS Office Suite
SharePoint

Description du poste

UnitedHealthcare, part of UnitedHealth Group, seeks a senior network management leader to guide provider networks and unit cost management through pricing modeling and reporting. You'll negotiate contracts, build competitive networks, and lead financial analyses.

This remote role offers CST hours Mon-Fri 8:00 am–5:00 pm and a comprehensive benefits package, including telecommuter policy and 401k with stock options; you will impact care affordability and access.

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