Network Contracts & Data Strategy Lead

UnitedHealth Group; Plymouth (MN); Remote; USD 73,000 - 130,000; Full time

Job summary

UnitedHealth Group is seeking a role focused on Provider Networks within a flexible, remote-friendly environment in the United States. The job emphasizes enterprise-wide network design, data analysis, and collaboration with teams across sales, consulting, and clinical functions.

Responsibilities include developing Clinically Integrated Network programs, conducting network analysis, and driving initiatives to improve quality and affordability for various products within clinical service lines

Qualifications

• 5+ years of experience in claims processing or related data maintenance.
• 5+ years of experience with claims systems and contract handling.
• 3+ years of experience with contract submission, validation and maintenance.

Responsibilities

• Develop enterprise-wide Clinically Integrated Network teams for specific clinical lines.
• Perform network analysis and strategy development and implementation.
• Drive program design to improve quality and affordability.
• Obtain, validate and analyze data on network availability and access.
• Recommend expansion of networks for various products.

Skills

Claims processing

Claims systems

Contract loading

Contract submission

Data validation

Reimbursement methodologies

Project management

Job description

UnitedHealth Group is seeking a role focused on Provider Networks within a flexible, remote-friendly environment in the United States. The job emphasizes enterprise-wide network design, data analysis, and collaboration with teams across sales, consulting, and clinical functions.

Responsibilities include developing Clinically Integrated Network programs, conducting network analysis, and driving initiatives to improve quality and affordability for various products within clinical service lines