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Network Contract Manager
4 months ago
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
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.
If you are located in preferably the western region of the United States, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Negotiate and prepare facility agreements that are geographically competitive
- Achieve objectives for unit cost performance and trend management
- Prepare and negotiate value-based, performance-based, and creative contracts for assigned regional facilities
- Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, and other key process controls
- Collaborates with Provider Network team to ensure that network composition includes an appropriate distribution of provider specialties
- Participate 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 services
- 3+ years of experience using financial models and analysis to negotiate rates with providers
- In-depth knowledge of fee-for-service (FFS), risk sharing, and value-based or "creative" contracting
- Intermediate level of knowledge of claims processing systems and guidelines
- Demonstrable knowledge of managed care contracting concepts, provider network access, and CMS and Medicaid rules
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
California, Colorado, Hawaii, Nevada or Washington Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.
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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
