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Network Contract Manager

Optum
$70,200- $137,800/ year
Posted May 24
Full Time
RemoteEden Prairie, Minnesota

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

The Network Contract Manager - Public Sector works directly with providers and internal and external stakeholders to effectively develop, implement and manage provider networks aligned with Optum’s overall initiatives that support access, quality, usability and affordability for Optum public sector clients.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

  • Develop and manage a quality, cost-effective provider network that supports goals of and obligations to Optum’s public sector clients and providers. Specific activities to support this include:
    • Target, initiate and negotiate with provider’s contract terms and conditions, including fee schedules as needed, consistent with Optum Network Development Public Sector goals
    • Plan, direct and drive provider recruitment activities that support public sector client and network goals, including placement of outbound telephone calls, mailing strategies and results tracking
    • Serve as “functional owner” for provider communication pieces - including those outlined in the Communications Committee policy documents such as recruitment letters and Plan Summaries
    • Monitor competitiveness of provider networks within assigned territories, and develop and take actions necessary to address any competitive gaps
    • Manage large regional and complex provider relationships that require frequent provider contact
    • Utilize all software applications needed to adequately research provider issues and perform quarterly quality audits (i.e. NDB, CSP Facets, COSMOS and ACCENT applications, such as NMDB and CommLog)
    • Incorporate public sector network strategies and intelligence gathered through frequent interaction with UnitedHealthcare market representatives, product development, and industry publications
    • Create and articulate the network’s value proposition that resonates with current and potential provider recruitment targets and other internal and external stakeholders
    • Provide advice/guidance/recommendations to management and functional areas regarding provider reimbursement/payment methodologies and public sector recruitment initiatives
    • Analyze, maintain and improve as needed Optum’s provider network unit cost savings
    • Develop and maintain strategic business relationships with key internal and external public sector clients. Solves moderately complex problems and/or conducts complex analyses
    • Plan, conduct, and/or participate in special projects as directed by management or when supporting individual performance goals
    • Works with minimal guidance; seeks guidance on only the most complex tasks
    • Mentor and guide new employees

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 provider contracting experience
  • 5+ years of provider relations experience
  • MS Office applications, including proficiency in Word, Excel and PowerPoint
  • Resolve issues within a high matrix environment
  • Involve and build solid relationships with all other relevant segments and units
  • Solid customer service orientation and critical thinking skills

Preferred Qualifications

 

  • 2+ years of project management experience
  • 2+ years of process improvement experience
  • Experience in health care setting, with an emphasis in public sector (Medicaid/Medicare)
  • Experience in performing network adequacy analysis
  • Excellent verbal and written communication skills
  • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

_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.

_ _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.