Senior Network Contract Manager - Telecommute

Unitedhealth Group Inc. Eden Prairie , MN 55344

Posted 2 months ago

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 leadership 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 5 leader.

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

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

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.

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 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.

Preferred Qualifications:

  • Undergraduate degree

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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

  • All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

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.

Job Keywords: Network, Contract Manager, Senior Manager, Healthcare, Health Care, Contracting, Account Manager, Negotiation, Business Development, Manager, Consultant, Telecommute, Telecommuting, Telecommuter, Remote, Work from home, EFH


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Senior Network Contract Manager - Telecommute

Unitedhealth Group Inc.