Network Contract Manager - Remote | Latham, New York | Remote

Network Contract ManagerAt 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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing togetherThe Network Contract Manager 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. Network Contract Managers evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties.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.Estimated 5-10% of travel within New York is required.If you are commutable to the State of New York, Northeast Region of the US preferred, you will have the flexibility to work remotely* as you take on some tough challenges.Primary Responsibilities:Assess and interpret customer needs and requirementsIdentify solutions to non-standard requests and problemsSolve moderately complex problems and/or conduct moderately complex research and analysisWork with minimal guidance; seek guidance on only the most complex tasksTranslate concepts into practiceProvide explanations and information for others on difficult issuesUnderstand and manage to unit cost budgets, target setting, performance reporting and associated financial modelsGuide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend managementEvaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controlsEnsure that network composition includes an appropriate distribution of provider specialtiesProvide explanations and information to others on difficult issuesCoach, provide feedback and guide othersYou'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.Please review the Required Qualifications and you must meet or exceed the requirements listed below to be eligible to apply to this position.Required Qualifications:4+ years of experience in a network management-related role, such as contracting or provider services2+ years of experience and understanding performing network adequacy analysisIntermediate level of knowledge and understanding of New York state and federal reimbursement methodologiesIntermediate level of knowledge and understanding of fee schedules and utilizing financial models and analysis to develop rates with providersIntermediate level of knowledge of claims processing systems and guidelinesDriver's License and access to a reliable transportationPreferred Qualifications:Proven excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from othersProven solid interpersonal skills, establishing rapport and working well with othersProven solid customer service skills*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter PolicyPay 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 $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.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.UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.