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Network Contract Manager - Telecommute (LA, MS, AR Preferred) job at UnitedHealth Group, Orlando

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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)

You get it. Everyone gets it. The health care system needs to evolve even further than it has, and it has to do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here’s where you come in. As a participant in our network contract team, you’ll guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. The market has a Commercial, Medicare Advantage and Managed Medicaid product which enables a wide variety of strategic opportunities for creative projects and self-growth. You’ll discover the impact you want and the resources, backing and opportunities that you’d expect from a Fortune 5 leader. 

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

Primary Responsibilities:

  • Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, established financial targets and other key process controls 
  • Help develop geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
  • Have confidence in handling difficult discussions and making decisions with facts and data you have accumulated
  • Identify solutions to non-standard requests and problems
  • Be responsible for follow up items and managing project plans either on your own or with a cross functional team
  • Work with minimal guidance; seek guidance on only the most complex tasks

Get ready for a high impact role. You’ll be tasked with working in conjunction with our national clinics and hospitals to manage, collect and analyze provider data, updating and loading provider data and resolving any escalated issues with the clients.


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: 

  • Undergraduate degree or equivalent experience
  • 3+ years of experience in an external facing network management-related role handling complex network providers with accountability for business results 
  • 3+ years of experience managing complex meetings and/or projects
  • 2+ years of experience with provider contracting using financial models and analysis to negotiate rates with providers
  • Superior writing skills and ability to convey complex matters in a streamlined manner to a variety of management levels
  • Advanced competency of Microsoft Office Suite (Outlook, Word, Excel, PowerPoint)
  • Able and willing to travel up to 25% regionally
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • 2+ years of experience with facility/hospital contracting 
  • In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
  • Intermediate level of knowledge of claims processing systems and guidelines


To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment


Job country: United States

City: Orlando

Category: Business Operations Specialists, All Other

Location: Orlando, FL, United States

Job posted 2022-06-04

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