Physician Network Contract Manager - Remote in NY, NJ, PA

Company: UnitedHealth Group
Location: Las Vegas
Posted on: March 18, 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 has to 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 physicians in the New Jersey market.

If you are located in the state of NY, NJ or PA, you will have the flexibility to work remotely as you take on some tough challenges. This position will be expected to commute to East Brunswick, NJ once a month.

Primary Responsibilities:

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

Guide development of the network and negotiate agreements with physicians and medical groups 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 physician network composition includes an appropriate distribution of provider specialties

Provide explanations and information to others on difficult issues

Work cross functionally to facilitate resolution of issues

Coach, provide feedback and guide others

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:

4+ years of experience in a health care network management-related role, such as contracting or provider services

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

3+ years of experience in performing network adequacy analysis

In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)

Intermediate level of knowledge of claims processing systems and guidelines

Advanced competency of Microsoft Office Suite (Outlook, Word, Excel, PowerPoint)

Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualification:

Undergraduate degree

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

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.

New York City Residents Only: The salary range for New York City residents is $72,800 to $129,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

---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.

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