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 and start doing your life's best work.(sm)

The Network Contract Manager develops the provider network (physicians, ancillary groups & hospitals, 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 strong business relationships with Hospital, Physician and Ancillary Providers, and ensuring the network composition includes an appropriate distribution of provider specialties.

This role contracts with Providers and Hospitals for the Empire Plan, and so it is a highly visible position. This is a telecommute position.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. 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
• Provide explanations and information to others on difficult issues
• 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.

Required Qualifications:

• Undergraduate or higher level degree
• 4+ years of experience in a network management-related role, such as network contracting or network development; with hospitals and large provider groups. including Value Base Contracting
• 4 + years of experience with Physician contracting and negotiations
• 4 + years of experience utilizing financial models and analysis in negotiating rates with providers
• 4 + years of experience with Physician contract language review and edits
• In-depth knowledge of Medicare reimbursement methodologies (i.e. Resource Based Relative Value System (RBRVS)
• Proficient in Microsoft Word and Excel

Preferred Qualifications:

• 3+ years of experience in fee schedule development using actuarial models
• Intermediate level of knowledge of claims processing systems and guidelines
• Familiar with the NY downstate Provider Market
• Excellent verbal and written communication skills
• Proven interpersonal skills, establishing rapport and working well with others
• Proven customer service skills

Soft Skills:

• Excellent verbal and written communication skills
• Proven interpersonal skills, establishing rapport and working well with others
• Proven customer service skills
  

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

New York City, NY Residents Only: The salary range for New York City residents is $72,800 to $129,900. 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.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.