Jobs · Management

Senior Network Contract Manager - Remote Commutable to NC

UnitedHealthcare · Charlotte, NC · 3 mo ago
Management$92k–$164k/yrFull-time

Primary Responsibilities

  • Manage unit cost budgets, target setting, performance reporting and associated financial models
  • Guide development of the network and negotiate agreements with physicians, medical groups, and large health systems
  • Yielding a geographically competitive, broad access, stable network that achieves 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
  • Provide explanations and information to others on difficult issues
  • Work cross functionally to facilitate resolution of issues
  • Support all contracts for all lines of business
  • Mentoring of other network contract managers on the team

Required Qualifications

  • 5+ years of experience in a network management-related role handling complex network providers with accountability for business results
  • 5+ years of experience in the health care industry
  • 2+ years of experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions
  • Intermediate level of knowledge of Medicare Resource Based Relative Value System (RBRVS), performance-based compensation models, etc.
  • Intermediate level of proficiency with MS Office (Word, Excel, PowerPoint)
  • Able and willing to travel up to 10% (onsite meetings, provider visits, etc.)
  • Access to reliable transportation and valid US driver's license
  • Reside in North Carolina or within a commutable distance

Preferred Qualifications

  • 3+ years of experience using financial models and analysis to negotiate rates with providers
  • 2+ years of negotiation experience, with proven ability to drive favorable outcomes and build collaborative relationships
  • Advanced competency of excel, including pivot tables

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 $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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

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