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)

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This leadership role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. You'll guide the development and support of National Provider Networks as well as provider contracting and unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 7 leader.

This position does not manage people, but rather contracts with hospitals, ancillary, and physicians. While we are focused on maintaining and expanding our current network, we are also focused on data integrity and multiple initiatives/projects as directed by leadership.

Primary Responsibilities:

* Manage unit cost budgets, target setting, performance reporting and associated financial models
* Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
* Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
* Ensure that network composition includes an appropriate distribution of provider services
* Influence and/or provide input to forecasting and planning activities
* Working with Commercial, Medicare, and Medicaid lines of business
* Working with hospital, ancillary, and physician contracting
* Applicant should have an attention for detail, excel in prioritizing and handling multiple tasks, and be prepared to go above and beyond what is listed in this posting

In this role, you will need to be able to thrive in a demanding, intense, fast-paced environment. In addition, you'll be driving some complex negotiations while striving to ensure accuracy.

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 with hospital, ancillary, and/or physician contracting (or any combination there-of)
* Intermediate level of knowledge of Medicare, Medicaid, DRGs, Ambulatory Surgery Center Groupers, etc.
* Intermediate or better experience using MS Office (word, excel, powerpoint)
* Willing and able to travel up to 25% statewide
* You will be asked to perform this role in an office setting or other company location, however, may be required to work from home temporarily due to space limitations
* Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:

* 3+ years of experience contributing to financial modeling in making rate decisions and managing a medical cost and administrative budget
* Experience working with government programs (including but not limited to Medicare and Medicaid)
* Experience with project management
* Excellent Time Management, communication, and organizational skills

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 7 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 wherever 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: Network Contract Manager, Healthcare, Health care, Contracting, Account Manager, Negotiation, Business Development, Manager, Consultant, Network, Hospital, Ambulatory, Medicaid, Southfield, MI or Kalamazoo, MI, Michigan