Network Contract Manager

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)

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

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

• Assesses and interprets customer needs and requirements

• Identifies solutions to non-standard requests and problems

• Solves moderately complex problems and/or conducts moderately complex analysis

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.

• 3+ years of experience in a network management-related role, such as contracting or provider services
• 3+ years of experience in the health care industry
• Intermediate level of proficiency with MS Excel

Preferred Qualifications:

• Undergraduate degree
• 3+ years’ experience with large provider contracting including development of product pricing and utilizing financial modeling in making rate decisions
• 3+ years of experience using financial models and analysis to negotiate rates with providers
• 3+ years of experience in performing network adequacy analysis
• In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
• Intermediate level of knowledge of claims processing systems and guidelines
• Excellent verbal and written communication skills
• Strong interpersonal skills, establishing rapport and working well with others
• Creating and fine tuning provider networks helps improve access to health care for millions. It’s an outstanding opportunity to have more meaning and purpose in your career. Join us. Find out how you can start doing your life’s best work.(sm)

Careers with UnitedHealthcare. Let’s talk about opportunity. Start with a Fortune 6 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.