As a Senior Network Contract Manager within our network contracting team, you9ll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. In return, you9ll discover the impact you want and the resources, backing and opportunities that you9d expect from a Fortune 5 leader.
You9ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:- Manage hospital contract negotiations to achieve goals related to unit cost budgets, 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
- Set team direction, resolve problems, and provide guidance to members of your team
- Influence and/or provide input to forecasting and planning activities
- This role is all about challenge and relationships. You9ll partner with CEOs from various lines of business as we work on building effective relationships with large hospitals
You9ll 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:- 4+ years of experience in a network management-related role handling complex network providers with accountability for business results
- 3+ years of experience being in an external facing role, representing your organization with clients, vendors and/or government officials
- 3+ years of experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions
- 2+ years of experience with health system contracting
- Financial acumen and ability to understand financial modeling and trending
- Must be able to work Eastern Time Zone hours
- Willing and able to travel as needed in PA/DE (could be up to 25%)
Preferred Qualifications:- 3+ years of supervisory / project lead experience
- 2+ years of experience contributing to the development of product pricing and utilizing financial modeling in making rate decisions and managing a medical cost and administrative budget
- 2+ years of experience using financial models and analysis to negotiate rates with providers
- Hospital contracting experience
- Superior writing skills and ability to convey complex matters in a streamlined manner to a variety of management levels
- Expert level of knowledge of CMS reimbursement structures, DRG methodology, Ambulatory Surgery Center Groupers, fee schedule applications, etc.
- Solid interpersonal skills, establishing rapport and working well with others
*All employees working remotely will be required to adhere to UnitedHealth Group9s 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). No matter where or when you begin a career with us, you9ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 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.
