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Job Details


UnitedHealth Group

Network Contract Manager - Remote

Management

Manager

No

Maryland Heights, Missouri, United States

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)

Take on this Network Contract Manager role with UnitedHealth Group and you'll be part of a team that's reshaping how provider networks evolve and how health care works better for millions. 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 7 leader.

You will have the flexibility to work remotely* as you take on some tough challenges. Candidate must have availability to work Central Standard Time (CST) hours.

Primary 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 and trend management
  • Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
  • Ensure that network composition includes an appropriate distribution of provider specialties
  • Provide explanations and information to others on difficult issues
  • Coach, provide feedback and guide others

Get ready for some significant challenge. This is an intense, fast-paced environment that can be demanding. In addition, there are some data challenges and unique problems that need to be solved related to gaps in the process.

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 experience
  • 4+ years of experience in a healthcare network management-related role, such as contracting or provider services
  • Experience working with healthcare providers and/or physician groups (i.e. FQHC/RHC’s, Ancillary, Urgent Care, PHO's, IPA's, other)
  • Proficiency with MS Office Suite
  • Availability to work Central Standard Time (CST) hours

Preferred Qualifications:

  • 3+ years of experience in fee schedule development using actuarial models
  • 3+ years of experience utilizing financial models and analysis in negotiating rates with providers
  • 3+ years of experience in performing network adequacy analysis
  • Experience with performance-based contracts
  • Knowledge of Medicare reimbursement methodologies, i.e. Resource Based Relative Value System (RBRVS)
  • Intermediate level of knowledge of claims processing systems and guidelines
  • Excellent verbal and written communication skills
  • Ability to multi-task
  • Solid interpersonal skills, establishing rapport and working well with others
  • Solid customer service skills


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. Work with a Fortune 5 organization that’s serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.

*All employees working remotely 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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