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UnitedHealth Group
Senior Provider Network Contract Manager - Remote
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What they do
A Pricing Manager manages pricing and implements pricing strategies for company products or services. Analyzes company costs, industry pricing trends and prices at competitor companies. Develops strategies for pricing to improve sales.
$120,806 / year median in the U.S.
+8% projected growth
Job Description
- Requisition number:
- 2380134
- Job category:
- Network Contracting & Pricing At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start
- Caring. Connecting. Growing together
- The more you do, the more you learn.
- from anywhere within the U.S. as you take on some tough challenges.
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, trend management and appropriate distribution of provider specialties + Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls + Review work performed by others and provide recommendations for improvement + Forecast and plan resource requirements + Authorize deviations from standards In this role, you will need to be able to thrive in a demanding, intense, fast-paced environment.
Required Qualifications:
- + 5+ years of experience in a network management-related role handling complex network providers with accountability for business results + 5+ years of experience in the health care industry + 2+ years of experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions + In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
Application Deadline:
- This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected.
Benefits
- 401(k) Plans
- Dental Insurance
- Employee Stock Options (ESOs)