Senior Provider Network Contract Manager - Remote
Primary 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, trend management and appropriate distribution of provider specialties
- Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
- Review work performed by others and provide recommendations for improvement
- Forecast and plan resource requirements
- Authorize deviations from standards
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
- In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
Pay & Benefits
- Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (subject to eligibility)
Company Information
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.
We are committed to helping people live healthier lives and making the health system work better for everyone. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.
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.