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Sr Network Contract Manager - Telecommute

Employer
UnitedHealth Group
Location
Minnetonka
Salary
Competitive

View more

Industry
General
Role
Manager
Job Type
Long-Term
Hours
Full Time
UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

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 leadership 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 7 leader.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:
Evaluate, manage, and negotiate large national home infusion and specialty pharmacy contracts, reimbursement structure standards and other key process controls Forecast contract impacts to UHC lines of business, departments, health plans and Optum affiliate companies In coordination with UHC healthcare economics and national ancillary colleagues, manage departmental unit cost budgets, target setting, score carding, performance reporting and associated financial models Develop and manage competitive network programs that achieve objectives for performance and adheres to regulatory requirements, trend management and appropriate distribution of providers while managing UHC lines of business, enterprise and health plan expectations Develop, maintain and nurture business relationships with nationally contracted providers and identify other target cost-effective, high quality providers who help UHC achieve MBOs Understand and recommend deviations from standard contract language and rates Coordinate JOCs, communicate enterprise policy, oversee large scale operations projects with Provider Advocate team, and contribute to superior Net Promoter Scores

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 and affordability

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 work experience 5+ years of experience in a network management-related role handling complex network providers with accountability for business results 5+ years of experience in the health care industry 5+ years of experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:
Infusion contracting or specialty pharmacy experience PBM or Pharmacy experience

Creating and fine tuning provider networks helps improve access to health care for millions. It's an outstanding opportunity to have more meaning and purpose in your career. Join us. Find out how you can start doing your life's best work.(sm)

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 7 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 where ever 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)

Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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: Network Contract Manager, Minnetonka, MN, Minnesota, Phoenix, AZ, Arizona, Chicago, IL, Illinois, Hartford, CT, Connecticut, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote Category: Technology , Keywords: Network Manager

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