Manager, Provider Network | Vegas, NV

Network Contracting Manager

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The health care system continues to evolve at an accelerated pace, with new models of care and provider networks emerging to better serve patients and communities. UnitedHealth Group plays a leading role in this transformation.

As a Manager within the Network Contracting team, you will help lead the development and ongoing support of provider networks while driving unit cost management through financial and network pricing analysis, modeling, and reporting. This role partners closely with business and clinical leaders to build competitive, sustainable networks that deliver affordable, predictable products for customers and business partners.

Primary Responsibilities:

• Manage unit cost budgets, target setting, performance reporting, and associated financial and network pricing models
• Lead the development of geographically competitive, broad-access, and stable provider networks that achieve unit cost and medical trend objectives
• Evaluate and negotiate provider contracts in compliance with company templates, reimbursement standards, and established process controls
• Ensure network composition includes an appropriate distribution of provider specialties across markets
• Influence and contribute to forecasting, planning, and strategic decision-making activities
• Establish and maintain strong business relationships with hospitals, physicians, pharmacies, ancillary providers, and large medical groups
• Partner with senior leaders across lines of business to support network strategy and performance
• Set team direction, resolve complex issues, and provide coaching, guidance, and performance management for direct reports

Leadership & Scope:

• Manages and is accountable for professional employees and/or supervisors
• Impact of work is primarily at the local or market level
• Employees in roles designated as SCA must support a government Service Contract Act (SCA) agreement

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:

• 5+ years of experience in a network management or related role managing complex provider networks with accountability for business results
• 3+ years of experience in provider contracting
• 2+ years of experience with financial modeling, and medical cost and administrative budget management
• 2+ years of people leadership or supervisory experience
• Expert-level knowledge of Medicare reimbursement methodologies, including RBRVS, DRGs, Ambulatory Surgery Center Groupers, and related payment models
• Driver's License and access to a reliable transportation

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). The salary for this role will range from $91,700 to $163,700 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.