Network Provider Contract Manager – Remote Nationwide

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Description

$2,500 SIGN ON BONUS FOR EXTERNAL CANDIDATES

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

There’s an energy and excitement here, a shared mission to improve the lives of others as well as our own. As a Network Provider Contract Manager, you will guide development, manage performance, and negotiate network contracts to establish and maintain strong business relationships with assigned providers and internal partners.

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

 

Primary Responsibilities:

  • Manage performance target setting, performance reporting and associated financial models relative to provider network contracting

  • Guide development of geographically competitive, broad access, stable networks that achieve objectives

  • Evaluate, understand, and negotiate provider contracts in compliance with company templates, reimbursement structure standards and other key process controls

  • Ensure that network composition includes an appropriate distribution of provider specialty types 

  • Influence and/or provide input to forecasting and planning activities for network growth

  • Establish and maintain strong business relationships with assigned providers and internal partners

  • Research provider footprint and evaluate for gap filling

What are the reasons to consider working for UnitedHealth Group?   Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account

  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

  • 401(k) Savings Plan, Employee Stock Purchase Plan

  • Education Reimbursement

  • Employee Discounts

  • Employee Assistance Program

  • Employee Referral Bonus Program

  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

  • More information can be downloaded at: http://uhg.hr/uhgbenefits

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:

  • Undergraduate degree or work equivalent experience

  • 3+ years of experience in a network management-related role handling complex network providers with accountability for business results

  • 3+ years of experience with direct provider contracting, including facility, physician, and ancillary providers

  • Experience with client-facing responsibilities, including issue resolution and contract negotiations

  • Intermediate level of knowledge of claims processing systems and guidelines

  • Experience performing network adequacy analysis

  • Ability to problem solve complex issues and unique situations

  • Understanding of network adequacy analytics and how to prioritize the work based on data

  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance. 

Preferred Qualifications:

  • Undergraduate degree

  • Knowledge and understanding of military protocol

  • Experience and accustomed to building brand new networks

  • 5+ years of experience with direct provider contracting, including facility, physician and ancillary

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

 

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

**PLEASE NOTE** The sign-on bonus is only available to external candidates.  Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus. 

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $64,800 to $116,000. The salary range for Connecticut / Nevada residents is $71,400 to $127,400. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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

Job ID
169
Job Title
Network Provider Contract Manager – Remote Nationwide
Start Date
12/23/2021
Application Deadline
January 22, 2022
Salary Range
no minimum salary specified - no maximum salary specified
Min. Years of Experience
3.0
Job Location
Nation Wide Remote,
Website
https://careers.unitedhealthgroup.com/job/14549227/network-provider-contract-manager-remote-nationwi 

Contact Information

Name
Allerston, Jacinta
Phone Number
(617) 463-9293
Email
jacinta_allerston@uhg.com 
043959