Network Contracting Manager, NE Region (Remote)

RiseMe; Rochester (MA); On-site; USD 92,000 - 164,000; Full time

Job summary

UnitedHealthcare is seeking a Manager of Network Contract to develop and negotiate a geographically competitive provider network, including physicians, hospitals, and ancillary providers, to achieve cost and access objectives. The role supports remote work across the U.S., with in-office requirements in the Minneapolis or Washington, D.C.

area four days per week for those locations. The position emphasizes relationship-building with providers, performance budgeting, and scalable network design

Qualifications

• 4+ years of experience in a network management-related role (e.g., contracting or provider services).
• 2+ years of experience and understanding performing network adequacy analysis.
• Intermediate knowledge of NY state and federal reimbursement methodologies.
• Intermediate knowledge of fee schedules and using financial models to develop rates with providers.
• Intermediate knowledge of claims processing systems and guidelines.

Responsibilities

• Assess and interpret customer needs and requirements.
• Identify solutions to non-standard requests and problems.
• Solve moderately complex problems and conduct analysis.
• Translate concepts into practice and provide explanations on difficult issues.
• Understand and manage unit cost budgets, target setting, performance reporting and financial models.
• Evaluate and negotiate contracts in compliance with templates and reimbursement standards.

Job description

UnitedHealthcare is seeking a Manager of Network Contract to develop and negotiate a geographically competitive provider network, including physicians, hospitals, and ancillary providers, to achieve cost and access objectives. The role supports remote work across the U.S., with in-office requirements in the Minneapolis or Washington, D.C.

area four days per week for those locations. The position emphasizes relationship-building with providers, performance budgeting, and scalable network design