Senior Network Contract Manager – Remote Commutable (or Relocate) to NC/SC

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 to start Caring. Connecting. Growing together.  

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Senior Network Contract Manager role with UnitedHealth Group will call on your knowledge, your energy, and your commitment to making health care work more effectively for more people. You’ll guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you’ll discover the impact you want and the resources, backing and opportunities that you’d expect from a Fortune 4 leader.

If you are located in MC, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities: 

• Evaluate and negotiate Physician Contracts in compliance with company templates, reimbursement structure standards and other key process controls
• Manage unit cost budgets, target setting, performance reporting and associated financial models
• Develop geographic competitive, broad access, stable networks that achieve objectives for unit cost performance, trend management and appropriate distribution of provider specialties
• Develop and execute strategic plans to achieve contract objectives
• Influence and/or provide input to forecasting and planning activities

In this role, you will need to be able to thrive in a demanding, intense, fast-paced environment. In addition, you’ll be driving some complex negotiations while striving to ensure accuracy.

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: 

• 5+ years of experience in a health care 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
• Demonstrated experience working with contract negotiations
• In-depth knowledge of reimbursement methodologies
• Intermediate or better experience using MS Office (Word, Excel, PowerPoint)
• Willing and able to travel up to 25% w/in area
• Commutable to NC/SC, and/or willing to relocate as own expense

Preferred Qualification:

• Basic understanding of claim’s adjudication related to contract terms
• Excellent Time Management, communication, and organizational skills

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

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.   

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.