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Network Contract Manager - US Telecommute

UnitedHealth Group

Minnetonka, MN
Job Code:
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Job Details

Network Contract Manager - US Telecommute(Job Number:696785)

What makes your career greater with UnitedHealth Group? Growth opportunities among the variety of product lines and making an impact on the healthcare system ensures it will always be challenging and exciting. The Network Contract Manager develops the provider network (physicians, hospitals, pharmacies, ancillary groups and 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.


Primary Responsibilities:

  • Assess and interpret customer needs and requirements
  • Identify solutions to non-standard requests and problems
  • Solve moderately complex problems and / or conduct moderately complex analyses
  • Work with minimal guidance; seek guidance on only the most complex tasks
  • Translate concepts into practice
  • Provide explanations and information to others on difficult issues
  • Coach, provide feedback, and guide others
  • Act as a resource for others with less experience
  • Understanding government programs reimbursement strategies for various facility types
  • Developing and maintaining facility payment appendix language to support the government program reimbursement strategies
  • Researching and collaborating with appropriate business owners to develop potential new strategies
  • Coordinating with OptumInsight, IT, system configuration teams, Emptoris and other departments / segments in the implementation of reimbursement and pricing strategies
  • Developing and documenting system enhancement requests to support the implementation of pricing strategies
  • Developing training materials and curriculum supporting the standard payment appendices and the reimbursement strategies supporting the government programs
  • Collaborating with HCE Network Pricing regarding pricing of reimbursement strategies
  • Evaluating requests and issues raised from the regional Network Management and HCE Network Pricing staff for potential revisions/enhancements to the standard payment appendices and state specific payment appendices

Job Provider Contracting & Network Development
Primary Location US-MN-Minnetonka
Other Location 
Organization Network Admin & Efficiencies
Schedule Full-time
Number of Openings 1
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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