UnitedHealth Group
Description
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 to start Caring. Connecting. Growing together.
The Network Contract Manager develops the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management and produces an affordable and predictable product for customers and business partners. Network Contract Managers evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining solid business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties.
If you are located in the New York City market, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Assess and interpret customer needs and requirements
- Identify solutions to non-standard requests and problems
- Solve moderately complex problems and/or conduct moderately complex analyses
- Work with minimal guidance; seek guidance on only the most complex tasks
- Translate concepts into practice
- Provide explanations and information to others on difficult issues
- Coach, provide feedback, and guide others
- Act as a resource for others with less experience
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.
One year of post-high school education can be substituted/is equivalent to one year of experience.
Required Qualifications:
- 3+ years of experience in a network management-related role, such as contracting or provider services
- 3+ years of experience utilizing financial models and analysis in negotiating rates with providers
- 3+ years of experience in fee schedule development using actuarial models
- 3+ years of experience in performing network adequacy analysis
- Demonstrated experience negotiating contracts
- Proven intermediate level of knowledge of claims processing systems and guidelines
Preferred Qualifications:
- In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
- Intermediate competency of excel, including pivot tables
- Intermediate competency of Microsoft Office Suite (Outlook, Word, PowerPoint) and Sharepoint
- Proven solid interpersonal skills, establishing rapport, and working well with others
- Proven solid customer service skills
- Proven excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
New York Residents Only: The salary range for New York City residents is $67,800 to $133,100 per year. 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.
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.