Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Senior Network Contract Manager develops the provider network (hospitals, health systems, physicians, and ancillary providers) 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. Senior 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 and health system providers, and ensuring the network composition includes an appropriate distribution of provider specialties. Primary Responsibilities: Negotiate and implement hospital and health system contractsDevelop and maintain excellent relationships with hospital and health system providersPrepare and manage all contract documents for assigned providersCreate and deliver effective provider-specific proposals, presentations, and correspondenceSolve complex problems and develop innovative solutionsParticipate in the development and execution of regional network strategy with local UHN teamMonitor and analyze financial and quality metrics to assess network performanceWork effectively with cross-functional teams, may lead teams or projectsMotivate and inspire other team members
Required Qualifications:Undergraduate degree or equivalent experience3+ years of experience with provider contracting, including negotiationsIntermediate level of knowledge of Medicare and Commercial reimbursement methodologies Preferred Qualifications:5+ years of experience in a network management-related role handling complex network providers with accountability for business results5+ years of experience in the health care industry2+ years of experience utilizing financial data in making rate decisionsKnowledge of Value Based payment models such as ACO and Risk Based Payment ModelsPrevious experience with facility and/or complex health systemsStrong customer service skillsExcellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others, including but not limited to reimbursement policy standardsStrong interpersonal skills, establishing rapport and working well with othersCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 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) 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 Keywords: Provider Contracting, Negotiations, Contracts, Hospital contracting, commercial contracting, Lake Oswego, Portland, OR, Oregon
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.