Senior Network Contract Manager - Remote; PA​/DE , EDT

Position: Senior Network Contract Manager - Remote (PA/DE preferred, working EDT)
Job d:

Location:

Horsham, Pennsylvania, United States Salary: $91,700 - $163,700/year

Job Area:
Network Contracting & Pricing Company:
United Health Group At United Healthcare, 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 in making healthcare work better for everyone through people-led, responsible AI while Caring.

Connecting. Growing together.

The health care system needs to evolve even further than it has, and it has to do so at a lightning-fast pace. New models of care and networks of providers are emerging now to better serve patients and communities. And at United Health Group, we are playing a lead role. Here's where you come in. As a Senior 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.

In return, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader.

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

Primary Responsibilities:

Manage hospital contract negotiations to achieve goals related to unit cost budgets, 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

Set team direction, resolve problems, and provide guidance to members of your team Influence and/or provide input to forecasting and planning activities

This role is all about challenge and relationships. You'll partner with CEOs from various lines of business as we work on building effective relationships with large hospitals

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 network management-related role handling complex network providers with accountability for business results3+ years of experience being in an external facing role, representing your organization with clients, vendors and/or government officials3+ years of experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions2+ years of experience with health system contracting

Financial acumen and ability to understand financial modeling and trending

Must be able to work Eastern Time Zone hours

Willing and able to travel as needed in PA/DE (could be up to 25%)

Preferred Qualifications:

3+ years of supervisory / project lead experience2+ years of experience contributing to the development of product pricing and utilizing financial modeling in making rate decisions and managing a medical cost and administrative budget2+ years of experience using financial models and analysis to negotiate rates with providers

Hospital contracting experience

Superior writing skills and ability to convey complex matters in a streamlined manner to a variety of management levels

Expert level of knowledge of CMS reimbursement structures, DRG methodology, Ambulatory Surgery Center Groupers, fee schedule applications, etc.

Solid interpersonal skills, establishing rapport and working well with others
* All employees working remotely will be required to adhere to United Health 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 $91,700 - $163,700 annually based on…