Network Contract Manager – Facility - Mid-Atlantic Region Preferred
Columbia, Maryland, United States · Remote OK
$73k–$130k/yr
Mid level$7.6B raised
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Network Contract Manager – Facility - Mid-Atlantic Region Preferred
The Network Contract Manager is responsible for negotiating and managing contracts with hospitals, ancillary entities, and other facilities to ensure a competitive and stable provider network. This role involves synthesizing financial data to develop renewal strategies and maintaining strong business relationships with providers across the Mid-Atlantic region.
Requirements
Candidates must have at least 2 years of experience in the managed care industry and proficiency in financial modeling and analysis. The role requires strong communication skills, the ability to work independently, and a valid driver's license for occasional travel.
Full 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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Network Contract Manager – Facility, helps develop the provider network of hospitals, ancillary entities and other facilities, yielding a geographically competitive, stable network with broad access, that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for our customers, members and business partners. Network Contract Managers evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining solid business relationships with Hospital or Ancillary providers.
This role is responsible for Facility contracting in our Mid-Atlantic region, which may encompass the states of VA, WV, MD and DC across all our business segments - E&I/IEX (Employer & Individual and Individual Exchange), M&R (Medicare & Retirement) and C&S (Community & State). The role may include contracting with hospitals and health systems, ancillary and specialty providers as well as federally qualified health centers and/or rural health centers.
Required Hours: Monday-Friday 8am-5pm EST
You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. This position prefers candidates living in the Mid-Atlantic Region (MD, DC, WV or VA area).
Primary Responsibilities:
Negotiate hospital, ancillary and other facility contracts for Mid-Atlantic market providers across Virginia, West Virginia, DC and Maryland
Synthesize data provided by our partners in Healthcare Economics to develop and plan provider contract renewal strategies
Regular engagement with assigned providers through meetings (in person and virtual) and regularly scheduled calls to discuss open items, ongoing issues, contractual concerns and/or operational issues
Help manage provider issues, leveraging our internal tools and business partners for assistance
Manage the lifecycle of the contract and maintain in our systems
Work independently with the support of leadership when necessary
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
2+ years of experience in the managed care industry
2+ years of experience utilizing financial models and analysis in strategy development
Intermediate level of proficiency in Word, Excel, PowerPoint
Willing and able to travel up to 10-15%25 (w/in the mid-Atlantic territory)
Access to reliable transportation and valid US driver’s license
Preferred Qualifications:
2+ years of experience in negotiating rates with providers
2+ years of experience performing network adequacy analysis
Knowledge of reimbursement methodologies
Knowledge of and prior experience in the healthcare and health insurance landscape
Experience with performance-based contracts
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 from others
Solid interpersonal skills, establishing rapport and working well with others
Solid customer service skills
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences.
Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care.
We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care.
At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities.
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