Uhc Careers 2022 – Network Contract Manager

Website UnitedHealthcare

Job Description:

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)

Job Responsibilities:

  • Support physician and hospital based physician program management including setting national strategy guidelines, establishing target benchmarks, performance reporting and associated financial models
  • Concisely communicate to leadership, program status including outlining complex issues and proposed solutions
  • Collaborate with health care economics, regulatory and legal partners to formulate national strategies as well as individual contract strategies and performance based programs
  • Provide expertise on implications of legislative impacts on strategies as it relates to client affordability and member experience
  • Support large national hospital based physician negotiations including methodology development, unit cost management, language and other key process controls
  • Develop and maintain controls and tools that capture updated and accurate information regarding the status of the national hospital based physician contracting portfolio
  • Advise and guide regions/markets on the deployment of local geographically competitive stable networks that achieve objectives for unit cost performance and trend management

Qualification & Experience:

  • 3+ years of experience in fee schedule development
  • In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS) and other physician and anesthesiology industry payment methodologies
  • 3+ years of experience using financial models and analysis to negotiate rates with providers
  • Undergraduate degree or equivalent work experience
  • Experience managing relationships and negotiations with large complex physician groups
  • 3+ years of experience in a network management-related role, such as contracting or provider services
  • Expertise level project management skills

Job Details:

Company:  UnitedHealthcare

Vacancy Type:  Full Time

Job Location: St. Petersburg, FL, US

Application Deadline: N/A

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