All jobs

Senior Network Contract Manager - Remote Commutable (or Relocate) to NC/SC

100% Remote Full-time Open now

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 to start Caring. Connecting. Growing... together. 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 Senior Network Contract Manager 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 4 leader. If you are located in MC, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities • Evaluate and negotiate Physician Contracts in compliance with company templates, reimbursement structure standards and other key process controls • Manage unit cost budgets, target setting, performance reporting and associated financial models • Develop geographic competitive, broad access, stable networks that achieve objectives for unit cost performance, trend management and appropriate distribution of provider specialties • Develop and execute strategic plans to achieve contract objectives • Influence and/or provide input to forecasting and planning activities 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. 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 • 5+ years of experience in a health care network management-related role handling complex network providers with accountability for business results • 5+ years of experience in the health care industry • 2+ years of experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions • Demonstrated experience working with contract negotiations • In-depth knowledge of reimbursement methodologies • Intermediate or better experience using MS Office (Word, Excel, PowerPoint) • Willing and able to travel up to 25% w/in area • Commutable to NC/SC, and/or willing to relocate as own expense Preferred Qualification • Basic understanding of claim’s adjudication related to contract terms • Excellent Time Management, communication, and organizational skills • 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 Apply Job!

You might also like

ACCOUNT MANAGER | Testgorilla | €68k – €85k | Remote (Worldwide)

100% Remote Full-time

Real Estate Agent/Brokers/Teams - 100% Commission, Flexible Schedule, Plus Rev Share

100% Remote Full-time

Aetna Remote Work From Home Jobs – Entry Level – DPS

100% Remote Full-time

Netflix Remote Customer Service Jobs, Netflix Part Time Remote Jobs Brazil

100% Remote Full-time

Walgreens Remote Work From Home Jobs – Entry Level – DPS

100% Remote Full-time

Finance Systems Senior Manager - GRC & Real Estate Technologies (REMOTE)

100% Remote Full-time

Manufacturing Supervisor* (Cottage Grove, MN) - (5am- 5pm, 5pm - 5am)

100% Remote Full-time

[Remote Part-time jobs] Amazon Data Entry Jobs (At Work Home) Apply Now

100% Remote Full-time

Bilingual Customer Service Representative (English/Spanish) – Leadership Role in a Growing Start-Up

100% Remote Full-time

Senior Creature Technical Director - Expression of Interest San Francisco, CA, USA

100% Remote Full-time

Part Time Art Faculty Pool

100% Remote Full-time

Sr Director, Program Management, Operations (US - Remote)

100% Remote Full-time

Account Executive, Enterprise

100% Remote Full-time

Associate Director, Regulatory Operations and Intelligence

100% Remote Full-time

Experienced Part-Time Customer Service and Sales Assistant for Dynamic Retail Environment – arenaflex

100% Remote Full-time

bolthires Data Entry Remote Job Opportunity Earn Up to $25/Hour wi bolthires Store

100% Remote Full-time

Virtual Travel Assistant - Work From Home

100% Remote Full-time

Virtual Customer Service Representative/Travel

100% Remote Full-time

Bank Secrecy Act Officer

100% Remote Full-time

Virtual Receptionist (Work From Home)

100% Remote Full-time