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UnitedHealth Group Network Contract Manager - West Valley City, UT in West Valley City, Utah

It's a big step forward when you realize that you've earned the trust to lead a team. Now, let's determine just how big that step can be. Take on this managerial 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 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

Get ready for some significant challenge. 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:

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

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

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

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

  • Intermediate level of knowledge of claims processing systems and guidelines

  • 3+ years of experience in performing network adequacy analysis.

Preferred Qualifications:

  • Undergraduate degree

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

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Network Contract Manager, West Valley City, UT, Utah

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