Senior Provider Network Contracts Leader – Remote

UnitedHealth Group; Minnetonka (MN); Remote; USD 92,000 - 164,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group is seeking a senior leader to guide the development and support of Provider Networks and unit cost management through financial and network pricing modeling, analysis and reporting. In a fast-paced environment, you will drive negotiations, forecast resource needs and ensure contracts align with template standards and reimbursement rules.

You will mentor teams and shape strategic cost performance.

Qualifications

• 5+ years of experience in a network management-related role handling complex network providers with accountability for business results.
• 5+ years of experience in the health care industry.
• 2+ years of experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions.
• Proven in-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.

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, trend management and appropriate distribution of provider specialties
• Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
• Review work performed by others and provide recommendations for improvement
• Forecast and plan resource requirements
• Authorize deviations from standards

Skills

Network management experience

Healthcare industry experience

Provider contracting

Financial modeling

Job description

UnitedHealth Group is seeking a senior leader to guide the development and support of Provider Networks and unit cost management through financial and network pricing modeling, analysis and reporting. In a fast-paced environment, you will drive negotiations, forecast resource needs and ensure contracts align with template standards and reimbursement rules.

You will mentor teams and shape strategic cost performance.