Senior Network Contract Manager - Remote within FL - Hybrid if commutable to Miramar, FL

Company: UnitedHealth Group
Location: Missouri City
Posted on: March 17, 2023

Job Description:

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join 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 must do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. Take on this Network Contract Manager role with UnitedHealth Group and you'll be part of a team that's reshaping how provider networks evolve and how health care works better for millions. As a Network Contract Manager within our network contracting 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. As you do, you'll discover the impact you can make and have the resources, backing and opportunities that you'd expect from a Fortune 5 leader. This role supports and contracts for facility and ancillary in the South Florida Markets. If you are located in state of Florida,you will have the flexibility to work remotely as you take on some tough challenges. Primary Responsibilities: Manage unit cost budgets, target setting, performance reporting and associated financial models Guide development of the network and negotiate contracts with facility and ancillary yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management and produces an affordable and predictable product for customers and business partners Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls Ensure facility and ancillary network composition meets network adequacy requirements Main point of contact for facility and ancillary; work cross functionally to facilitate resolution of issues Coach, provide feedback and guide others If commutable, we will provide the candidate a hybrid remote/Miramar office work schedule 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 equivalent experience 5 years of experience in a network management-related role, such as contracting or provider services 5 years of experience in the health care industry 3 years of experience using financial models and analysis to negotiate rates with providers Intermediate or better competency of Microsoft Office Suite (Outlook, Word, Excel, PowerPoint) Able and willing to travel up to 25% w/in the state of FL Preferred Qualifications: Experience working with large healthcare systems in the State of Florida In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc. Knowledge of Medicare reimbursement methodologies such as MS-DRG and RBRVS Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others Solid interpersonal skills, establishing rapport and working well with others Careers with UnitedHealthcare. Work with a Fortune 5 organization that's serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none. ---All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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. 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.

Keywords: UnitedHealth Group, Missouri City , Senior Network Contract Manager - Remote within FL - Hybrid if commutable to Miramar, FL, Executive , Missouri City, Texas