Network Contract Manager – Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

 

The Network Contract Manager – Public Sector works directly with providers and internal and external stakeholders to effectively develop, implement and manage provider networks aligned with Optum’s overall initiatives that support access, quality, usability and affordability for Optum public sector clients.

 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

 

Primary Responsibilities:

• Develop and manage a quality, cost-effective provider network that supports goals of and obligations to Optum’s public sector clients and providers. Specific activities to support this include:
• Target, initiate and negotiate with provider’s contract terms and conditions, including fee schedules as needed, consistent with Optum Network Development Public Sector goals
• Plan, direct and drive provider recruitment activities that support public sector client and network goals, including placement of outbound telephone calls, mailing strategies and results tracking
• Serve as “functional owner” for provider communication pieces – including those outlined in the Communications Committee policy documents such as recruitment letters and Plan Summaries
• Monitor competitiveness of provider networks within assigned territories, and develop and take actions necessary to address any competitive gaps
• Manage large regional and complex provider relationships that require frequent provider contact
• Utilize all software applications needed to adequately research provider issues and perform quarterly quality audits (i.e. NDB, CSP Facets, COSMOS and ACCENT applications, such as NMDB and CommLog)
• Incorporate public sector network strategies and intelligence gathered through frequent interaction with UnitedHealthcare market representatives, product development, and industry publications
• Create and articulate the network’s value proposition that resonates with current and potential provider recruitment targets and other internal and external stakeholders
• Provide advice/guidance/recommendations to management and functional areas regarding provider reimbursement/payment methodologies and public sector recruitment initiatives
• Analyze, maintain and improve as needed Optum’s provider network unit cost savings
• Develop and maintain strategic business relationships with key internal and external public sector clients. Solves moderately complex problems and/or conducts complex analyses
• Plan, conduct, and/or participate in special projects as directed by management or when supporting individual performance goals
• Works with minimal guidance; seeks guidance on only the most complex tasks
• Mentor and guide new employees

 

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:

• 2+ years of provider contracting experience and/or provider relations experience
• MS Office applications, including proficiency in Word, Excel and PowerPoint
• Demonstrated ability to resolve issues within a high matrix environment
• Demonstrated ability to involve and build solid relationships with all other relevant segments and units
• Proven solid customer service orientation and critical thinking skills

 

Preferred Qualifications:

• 2+ years of project management experience
• 2+ years of process improvement experience
• Experience in health care setting, with an emphasis in public sector (Medicaid/Medicare)
• Experience in performing network adequacy analysis
• Proven excellent verbal and written communication skills

 

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

 

The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

 

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.

 

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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

 

 

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.