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Job Details


UnitedHealth Group

Senior Contract Manager (Hospital) - Telecommute within Georgia

Healthcare

Hospital/Inpatient

Yearly

No

Atlanta, Georgia, United States

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

The Senior Contract Manager develops hospital and facility networks (hospitals, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners. The Senior Contract Manager evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with Hospital or Ancillary providers and ensuring the network composition includes an appropriate distribution of provider specialties. This position will work with commercial, government and any other lines of business.

If you are located in Georgia, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Hospital, Ambulatory Surgery Centers and other Ancillary contracting primarily in the Georgia market
  • Own an end-to-end contracting process including, but not limited to, using available technology to create contracts, negotiate financial and contract terms, and implement final contract
  • Lead, supervise and / or mentor employees
  • Develop detailed, and concise negotiation strategy and plans to yield desired outcome of the organization
  • Build and / or maintain collaborative relationships with key external and internal partners
  • Apply network configuration and incentive - based payment models as appropriate to improve quality and efficiency
  • Identify and resolve technical, operational and organizational problems outside own team
  • Product, service or process decisions are most likely to impact entire functions and/or customer accounts (internal or external)
  • Effectively interact and collaborate with designated individuals for each line of business and matrix partners


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:

  • Undergraduate degree or equivalent work experience
  • 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
  • 5+ years of experience in contributing to the development of product pricing and utilizing financial modeling in making rate decisions
  • Experience with MS Excel
  • Knowledge of hospital and facility reimbursement methodologies such as DRGs, APCs, Per-diem, Ambulatory Surgery Center Groupers, etc.
  • Willing and able to travel up to 25% regionally (day trips)
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • Post-graduate degree
  • Experience with provider contracting
  • Solid customer service skills
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others, including but not limited to reimbursement policy standards
  • Solid interpersonal skills, establishing rapport and working well with others


To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

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


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.

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