Strategic Network Contracts Manager

UnitedHealth Group

Orlando (FL)

On-site

USD 73,000 - 130,000

Full time

6 days ago
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Benefits offered by this job

Comprehensive benefits
Incentive programs
Equity stock purchase
401k contribution

Job summary

UnitedHealthcare, a unit of UnitedHealth Group, is seeking a Manager in Network Contracting to lead contract development and cost management for government-focused and South Atlantic provider groups. You will negotiate agreements, guide network design, and ensure cost optimization while collaborating across lines of business.

The role emphasizes strategic thinking, cross-functional influence, and delivering results in a fast-paced environment with data challenges.

Qualifications

  • 2+ years of experience in the health care industry.
  • 2+ years of experience in a network management-related role (contracting, provider services, or provider data operations).
  • In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS).
  • Ability to prioritize tasks and work effectively under time constraints.
  • Excellent verbal and written communication skills.
  • Excels in building key internal & external business relationships to meet the needs of our customers and partners.

Responsibilities

  • Evaluate and negotiate contracts with a concentration in FQHC/RHCs in the South Atlantic market and Government Focus provider groups.
  • Manage unit cost budgets, target setting, performance reporting and associated financial models.
  • Guide development of geographically competitive networks that achieve unit cost performance objectives.
  • Ensure network composition includes an appropriate distribution of provider specialties.
  • Support Government Risk Contracting goals and objectives for all Government LOBs.
  • Provide day-to-day management of Risk contracting activities and contract execution/maintenance.
  • Collaborate across lines of business and with LOB leaders, HCE, and Capitation Operations.
  • Provide explanations and information on difficult issues.
  • Coach, provide feedback and guide others.
  • Prepare for a fast-paced environment with data challenges and process gaps.

Skills

Healthcare experience
Network management
RBRVS knowledge
Communication skills
Relationship building

Job description

UnitedHealthcare, a unit of UnitedHealth Group, is seeking a Manager in Network Contracting to lead contract development and cost management for government-focused and South Atlantic provider groups. You will negotiate agreements, guide network design, and ensure cost optimization while collaborating across lines of business.

The role emphasizes strategic thinking, cross-functional influence, and delivering results in a fast-paced environment with data challenges.

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