Join the Future of Healthcare at UnitedHealth Group
At UnitedHealth Group, we're revolutionizing the healthcare industry by going beyond basic care to integrated health programs across the entire continuum of care. We're committed to helping people live healthier lives and making the health system work better for everyone. If you're passionate about inventing the future of healthcare, we invite you to join our team and start Caring. Connecting. Growing together.
About the Role: Network Contracting Manager - Remote in IL/MO
We're seeking an experienced Network Contracting Manager to support the development of our provider network, ensuring it's geographically competitive, broad, and stable, while achieving objectives for unit cost performance and trend management. As a Network Contracting Manager, you'll play a critical role in creating an affordable and predictable product for our customers and business partners.
Primary Responsibilities:
- Conduct outreach to potential providers and support the development of our provider network, including physicians, pharmacies, ancillary groups, and facilities.
- Perform straightforward contract negotiation and pricing, evaluating and negotiating contracts in compliance with company contract templates and reimbursement structure standards.
- Establish and maintain strong business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, ensuring our network composition includes an appropriate distribution of provider specialties.
- Balance the financial and operational impact of contracts to providers, members, and different customer groups when developing and/or negotiating contract terms.
- Support the evaluation of market rates and provider performance to establish provider rates and negotiation strategies.
- Explain our organization's direction and strategy to internal partners and providers, justifying methodologies, processes, policies, and procedures.
- Identify and gather information regarding provider issues, developing and/or implementing strategies to resolve matters, and escalating issues to appropriate internal business partners as needed.
- Represent the department in external meetings, gathering relevant information, recommending solutions, executing on deliverables, and explaining results and decisions.
- Monitor and/or oversee provider financial performance to identify opportunities to improve performance and/or provider relationships.
- Monitor and/or oversee network performance and industry trends to identify opportunities to refine, develop, and/or implement market strategies.
- Perform other duties as assigned.
Key Work Attributes:
- Work is generally self-directed and not prescribed, serving as a resource to others.
- Ability to adapt quickly to a dynamic, fluid, high-learning work environment.
- Assesses and interprets customer needs and requirements, identifying solutions to non-standard requests and problems.
- Solves moderately complex problems and/or conducts moderately complex analyses.
- Works with minimal guidance, seeking guidance on only the most complex tasks.
- Coaches, provides feedback, and guides others, acting as a resource for others.
Required Qualifications:
- 2 years of experience with network contracting or provider relations in a managed care environment.
- Demonstrated understanding of and ability to utilize applicable financial tools and reports to develop rates.
- Demonstrated understanding of contract language to assess financial and operational impact and legal implications of requested contract changes.
- Demonstrated understanding of the competitor landscape within the market.
- Proven ability to utilize appropriate contract management systems to author and execute contracts and access supplemental contractual documents.
- Adherence to UnitedHealth Group's Telecommuter Policy for remote work.
Preferred Qualifications:
While not required, having experience in healthcare management, contract negotiation, and provider relations will be highly regarded. Additionally, knowledge of healthcare operations, market trends, and regulatory requirements will be beneficial.
Skills and Competencies:
- Strong communication and negotiation skills.
- Ability to analyze complex data and develop insights.
- Strategic thinking and problem-solving skills.
- Ability to work independently and as part of a team.
- Strong business acumen and understanding of financial principles.
Career Growth Opportunities and Learning Benefits:
At UnitedHealth Group, you'll be rewarded and recognized for your performance in an environment that challenges you and provides clear direction on what it takes to succeed. You'll have opportunities for development and growth, not only in your current role but also in other roles you may be interested in.
Work Environment and Company Culture:
We're committed to creating a diverse and inclusive workplace where everyone feels valued and respected. Our culture is centered around our mission to help people live healthier lives and make the health system work better for everyone. As a remote worker, you'll be part of a flexible and dynamic team that is passionate about making a difference in the healthcare industry.
Compensation, Perks, and Benefits:
We offer a competitive salary and a comprehensive benefits package that includes opportunities for professional growth and development. As a UnitedHealth Group employee, you'll be part of a community that is committed to making a positive impact on the lives of others.
Join Our Team and Make a Difference
If you're ready for a challenging and rewarding role that makes a difference in the healthcare industry, we encourage you to apply for this Network Contracting Manager position. As part of our team, you'll have the opportunity to develop your skills, grow your career, and contribute to our mission to help people live healthier lives.
At UnitedHealth Group, we're committed to diversity, equity, and inclusion. We're 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Take the Next Step
Are you ready for this challenge? Apply now and let's discuss how you can become a vital part of our success story.
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