Job was saved successfully.
Job was removed from Saved Jobs.

Job Details


UnitedHealth Group

Network Contract Manager - Telecommute

Healthcare

Nurse Manager

Yearly

No

Minnetonka, Minnesota, 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 more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This 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 5 leader.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Evaluate, manage, and negotiate centralized home infusion & specialty pharmacy contracts, reimbursement structure standards and other key process controls
  • Forecast contract impacts to UHC lines of business, departments, health plans
  • In coordination with UHC healthcare economics and ancillary colleagues, manage departmental unit cost budgets, target setting, score carding, performance reporting and associated financial models
  • Develop and manage competitive network programs that achieve objectives for performance and adheres to regulatory requirements, trend management and appropriate distribution of providers while managing UHC lines of business, enterprise, and health plan expectations
  • Develop, maintain, and nurture business relationships with contracted centralized providers and identify other target cost-effective, high-quality providers who help UHC achieve MBOs
  • Understand and recommend deviations from standard contract language and rates
  • Communicate enterprise policy, oversee operations projects with Provider Advocate team, and contribute to superior Net Promoter Scores

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 centralized ancillary negotiations while striving to ensure accuracy and affordability.


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
  • 3+ years of experience in a network management-related role handling complex network providers with accountability for business results
  • 3+ years of experience in the health care industry
  • 3+ years of experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions
  • 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:

  • Infusion contracting or specialty pharmacy experience
  • PBM or Pharmacy experience


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)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*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.

113669690.jpg