A network contract manager at United Healthcare is a critical role that ensures healthcare providers and facilities are properly contracted with the insurance company. In this position, the contract manager is responsible for negotiating and executing contracts with providers and facilities, ensuring the terms and conditions are in line with United Healthcare’s policies and procedures, as well as federal and state regulations. This role requires a deep understanding of the healthcare industry, contract law, and strong negotiation skills.

The network contract manager at United Healthcare is responsible for managing the network of healthcare providers and facilities. They work closely with the provider relations team to ensure that providers are meeting the needs of United Healthcare members, and that providers are billing the insurance company accurately. The contract manager also works with the provider relations team to resolve any issues that may arise between the insurance company and the healthcare providers.

The network contract manager at United Healthcare must have a deep understanding of federal and state regulations related to healthcare contracts. They must be up-to-date on any changes to these regulations and ensure that the contracts they negotiate comply with them. They also need to understand the financial implications of these regulations and ensure that the contracts are financially sound for both the insurance company and the healthcare providers.

Negotiation is a critical skill for a network contract manager at United Healthcare. They must be able to negotiate with healthcare providers and facilities to get the best possible terms and rates for the insurance company. They must also have excellent communication skills and the ability to build strong relationships with providers and facilities.

In addition to negotiating contracts, network contract managers at United Healthcare also monitor provider and facility performance to ensure they are meeting their contractual obligations. They work with the provider relations team to resolve any issues that arise and to make sure that providers and facilities are meeting the needs of United Healthcare members.

In conclusion, the role of a network contract manager at United Healthcare is vital to ensuring that healthcare providers and facilities are properly contracted with the insurance company. This requires a deep understanding of the healthcare industry, contract law, and strong negotiation skills. If you are interested in pursuing a career in healthcare contract management, United Healthcare is a great place to start.