Wednesday , February 8 2023

UHC Jobs – Manager Network Contracting

Website United HealthCare

Job Description:

UnitedHealthcare is a company that’s on the rise. We’re expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn’t about another gadget, it’s about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life’s best work.(sm)

You get it. Everyone gets it. The health care system needs to evolve even further than it has and it has to do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here’s where you come in. As a participant in our network management team, 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. The market has a Commercial, Medicare Advantage and Managed Medicaid product which enables a wide variety of strategic opportunities for creative projects and self-growth. You’ll discover the impact you want and the resources, backing and opportunities that you’d expect from a Fortune 7 leader.

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Job Responsibilities:

  • Manage unit cost budgets, target setting, performance reporting and associated financial models
  • Predict emerging customer needs and develop innovative solutions to meet them
  • Help develop geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
  • Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, established financial targets and other key process controls
  • Ensure that network composition includes an appropriate distribution of provider specialties
  • Have confidence in leading groups and handling difficult discussions and making decisions with facts and data you have accumulated
  • Be responsible for follow up items and managing project plans either on your own or with a cross functional team

Job Requirements:

  • Undergraduate degree or equivalent experience
  • 5+ years of experience in a network management-related role handling complex network providers with accountability for business results
  • 3+ years of experience being in an external facing role, representing your organization with clients, vendors and/or government officials
  • 3+ years of experience managing complex meetings and/or projects
  • 2+ years of experience with provider contracting
  • 2+ years of experience using financial models and analysis to negotiate rates with providers
  • 2+ years of experience in performing network adequacy analysis
  • Financial acumen and ability to understand financial modeling and trending
  • Superior writing skills and ability to convey complex matters in a streamlined manner to a variety of management levels
  • Ability and willingness to travel up to 25% regionally
  • You will be asked to perform this role in an office setting or other company location
  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Job Details:

Company: United HealthCare

Vacancy Type:  Full Time

Job Location: Jackson, MS, US

Application Deadline: N/A

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