Network Contract Manager

Join OptumOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. 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. Primary focus will be the states of CA, CO and ID. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Western US Preferred.Primary Responsibilities:Negotiate and prepare facility and outpatient agreements that are geographically competitiveAchieve objectives for unit cost performance and trend managementPrepare and negotiate value-based, performance-based, and creative contracts for assigned regional facilitiesEvaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, and other key process controlsCollaborate with Provider Network team to ensure that network composition includes an appropriate distribution of provider specialtiesParticipate in regional and state-based contracting and/or provider network calls; Possess a willingness and ability to provide explanations and information to others on difficult and/or complex contracting issues (i.e. subject matter expert)Get ready for some significant challenge. This is an intense, fast-paced environment that can be demanding. 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:3+ years of experience in provider contracting related role or network management and provider services3+ years of experience using financial models and analysis to negotiate rates with providersIn-depth knowledge of fee-for-service (FFS), risk sharing, and value-based or "creative" contractingIntermediate level of knowledge of claims processing systems and guidelinesDemonstrable knowledge of managed care contracting concepts, provider network access, and CMS and Medicaid rulesAll employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.