Network Contract Manager - Remote NYC

Responsibilities

• Manage unit cost budgets, target setting, 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, reimbursement methodologies and rates in compliance with company templates, reimbursement structure standards and other key process controls
• Ensure that network composition includes an appropriate distribution of provider and specialties and overall recruitment and contracting to ensure network adequacy
• Work with internal contacts to implement regulatory requirements impacting provider contracts (state specific changes to state published rates, coding, new services and requirements)
• Maintain existing network contracts and any contracting events that occur during the term of the agreement while generating savings opportunities for affordability initiatives
• Cook up high-profile negotiations, build and nurture trusted relationships with providers and internal state holders
• Engage facility and hospital providers and any internal resources to resolve issues related to contract administration
• Provide explanations and information to others on difficult issues

Requirements

• 2+ years of experience in a network management-related role, such as contracting or provider services
• Experience utilizing financial models and / or financial analysis for the purpose of negotiating rates with providers or to meet other business needs
• Knowledge of Medicaid and/or Medicare
• Intermediate level of knowledge of claims processing systems and guidelines
• 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
• Driver's License and access to reliable transportation

Qualifications

• Experience in Payment Appendix and fee schedule development
• Behavioral Health provider experience
• Facility/Hospital contracting experience
• Knowledge of the NY/Northeast market
• Proven sound interpersonal skills, establishing rapport and working well with others
• Proven sound customer service skills

Benefits

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 $72,800 - $130,000 annually based on full-time employment.

We comply with all minimum wage laws as applicable.

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.