Healthcare Provider Network Contract Manager - New York, NY

Employer
UnitedHealth Group
Location
New York, New York
Posted
Apr 07, 2021
Closes
Apr 09, 2021
Ref
fa73e4934e01
Sector
Law
Organization Type
Corporate
Become part of a team that's reshaping how provider networks evolve and how health care works better for millions. As a 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 want and the resources, backing and opportunities that you'd expect from a Fortune 6 leader.

Primary Responsibilities:


  • Manage unit cost budgets, target setting, performance reporting and associated financial models

  • Guide development of 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 and other key process controls

  • Ensure that network composition includes an appropriate distribution of provider specialties

  • Provide explanations and information to others on difficult issues

  • Coach, provide feedback and guide others

  • Develops the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) 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

  • Evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls

  • Establishes and maintains strong business relationships with Hospital, Physician or ASC providers, and ensures the network composition includes an appropriate distribution of provider specialties

  • Generally, work is self-directed and not prescribed

  • Works with less structured, more complex issues

  • Serve as a resource to others



Get ready for some significant challenges. This is an intense, fast-paced environment that can be demanding. In addition, there are some data challenges and unique problems that need to be solved related to gaps in the process.

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:


  • Bachelor's degree or equivalent years of experience

  • 2+ years of experience in a network management-related role, such as contracting or provider services

  • Intermediate level of knowledge of claims processing systems and guidelines

  • Intermediate knowledge of Microsoft Office (Word, PowerPoint, and Excel)

  • Excellent leadership, communication (written and oral) and interpersonal skills

  • Proven ability to work creatively and analytically in a problem-solving environment

  • 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.



Preferred Qualifications:


  • Master's degree

  • 2+ years of experience in fee schedule development using actuarial models

  • 2+ years of experience using financial models and analysis to negotiate rates with providers



Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans wherever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work. (sm)

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.

Job Keywords: New York, contracting, Negotiation, provider, contract, NY, Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Facility Contracting, Provider Network, Network Development, Provider Services, Contract Negotiating, Network Management, Accountable Care Organization (ACO)

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