Network Contracting Manager – Remote

For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

  

The Specialty and Ancillary Network Program Manager is responsible for the successful establishment of network provider agreements and the on-going maintenance of the relationship with these providers. The position requires the negotiation and performance evaluation of provider agreements, this requires specific technical understanding of provider reimbursement and provider contract language. This also includes enterprise-wide clinically integrated network programs or initiatives, to improve the quality and affordability through improvements in appropriateness, rates of reimbursement and effectiveness. Network Program Manager may perform network analysis and strategy development and implementation; obtain data, verify validity of data, and analyze data as required, and analyze network availability and access. Other responsibilities may also include making recommendations regarding use, expansion, selection of network providers for various products based on that analysis.

If you reside in AZ, you will have the flexibility to work remotely* as you take on some tough challenges. 

  

Primary Responsibilities:

• Negotiation of provider agreements with specialists, ancillary providers, and facilities
• Educates providers and their staff members on health plan products and processes, develops project plans which identify key issues, problems, approaches, performance metrics and resources required and provides staff leadership to multi-disciplinary teams. Serves as a liaison between provider and OptumCare
• Negotiate and maintain contracts with assigned provider specialties and types
• Assess and interpret customer needs and requirements
• Identify solutions to non-standard requests and problems
• Solve complex problems and/or conduct complex analyses
• Work with minimal guidance; seek guidance on only the most complex tasks
• Translate concepts into practice
• Provide explanations and information to others on difficult issues
• Coach and provide feedback to assigned providers on OptumCare processes
• Act as a resource for others with new staff or others with less experience

  

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:

• 3+ years of experience directly negotiating provider contracts in a managed care environment
• Experience working with providers directly to address service needs
• Proven solid understanding of provider reimbursement methodologies and strategies
• Intermediate proficiency in MS Office (Excel, Access, and PowerPoint)
• Ability to travel 25% 

 

Preferred Qualifications:

• 5+ years of experience directly negotiating provider contracts in a managed care environment
• 3+ years of experience in provider data analysis and communicating metrics
• Experience with value based contracting strategies
• Proven familiarity with Arizona providers
• Proven ability to convey complex information to others and make it more easily understood
• Proven ability to prioritize multiple tasks in an environment of rapid change
• Demonstrated excellent communication skills, including ability to communicate effectively with various levels of leadership
• Based in Phoenix, AZ

 

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

The salary range for this role is $89,800 to $176,700 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.

  

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.

 

 

OptumCare 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.

 

 

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