Network Contract Manager - Pacific working hours

UnitedHealth Group; Lake Oswego (OR); On-site; Confidential; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group is seeking a Network Contract Manager to lead the development and management of provider networks that balance access, quality, and costs. You will use financial models and contract knowledge to support negotiation strategies, while coordinating with internal teams to advance network priorities.

The role emphasizes ownership, resourcefulness, and the ability to deliver high-quality work in a fast-paced environment with deadlines. This is a remote role aligned to PST hours.

Qualifications

• Self-starter who takes ownership and works independently.
• Strong resourcefulness in researching issues and solving problems.
• Excellent organizational skills to manage multiple priorities and meet deadlines.
• Proven ability to build trusted relationships with providers and internal partners.

Responsibilities

• Support development and ongoing management of geographically competitive provider networks meeting access, affordability, quality, and performance objectives.
• Evaluate provider participation, specialty distribution, network adequacy, provider performance, and market needs.
• Manage unit cost budgets, target setting, performance reporting, and financial models for negotiation strategy.
• Evaluate, negotiate, and support provider contracts aligned with templates and reimbursement standards.
• Build and maintain trusted relationships with providers and cross-functional stakeholders to resolve issues.

Skills

Self-starter

Independent worker

Resourceful

Organizational skills

Relationship building

Job description

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.

It's a big step forward when you realize that you've earned the trust to lead meaningful network management work. Take on this Network Contract Manager role with UnitedHealth Group and you'll be part of a team focused on building, sustaining, and improving provider networks that support affordability, access, quality, and a better health care experience. As a member of the network contracting team, you'll use network management experience, financial insight, provider relationship skills, and sound judgment to support provider network strategy, unit cost performance, and contract execution. You'll be expected to operate with ownership, resourcefulness, and strong organization while delivering highquality work in a fast-paced environment with competing deadlines.

If you are able to work PST work hours, you'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Support development and ongoing management of geographically competitive, stable provider networks that meet access, affordability, quality, and business performance objectives
• Use network management experience to evaluate provider participation, specialty distribution, network adequacy, provider performance, and market-level network needs
• Manage unit cost budgets, target setting, performance reporting, and associated financial models to support negotiation strategy and network performance decisions
• Evaluate, negotiate, and support provider contracts in alignment with company templates, reimbursement standards, process controls, and business objectives
• Build and maintain trusted working relationships with providers, internal partners, and cross-functional stakeholders to resolve issues and advance network priorities
• Research, analyze, and resolve complex network, contracting, reimbursement, or operational issues using sound judgment and available resources
• Organize and manage multiple priorities, follow through on commitments, and deliver accurate, high-quality work within established deadlines
• Provide clear explanations, recommendations, and updates on difficult issues to leaders, peers, and business partners
• Coach, provide feedback, and guide others as needed to support team effectiveness and continuous improvement

Get ready for significant challenge. This is an intense, fast-paced environment that requires strong ownership, prioritization, and problem-solving. The successful candidate will be a self-starter who can work independently, use available resources effectively, and move work forward while maintaining accuracy, professionalism, and timely delivery.

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:

• Proven ability to be a self-starter who takes ownership, works independently, and moves work forward with limited direction
• Demonstrated resourcefulness in researching issues, identifying solutions, and using available tools, data, and relationships to solve problems
• Solid organizational skills with the ability to manage multiple priorities, meet deadlines, and deliver accurate, high-quality work
• Proven success building trusted relationships with providers, internal partners, and cross-functional stakeholders

Preferred Qualifications:

• 2+ years of experience in a network management-related role with responsibility for provider network strategy, access, adequacy, or performance
• 2+ years of experience in fee schedule development using actuarial models
• 2+ years of experience using financial models and analysis to negotiate rates with providers
• 2+ years of experience performing network adequacy analysis
• Experience managing provider network priorities, contract-related work, or operational issues in a deadline-driven environment
• Knowledge of Medicare Resource Based Relative Value System (RBRVS)

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

• comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution

The salary for this role will range from $72,800 to $130,000 annually based on full-time employment.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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