Network Strategy & Performance Director (Remote)

UnitedHealth Group; Warwick (RI); Hybrid; USD 135,000 - 231,000; Full time

Job summary

UnitedHealth Group in Rhode Island seeks a Director, Network Strategy & Performance to lead provider network strategy and performance for the DSNP and Medicaid lines. You will partner with national network/contracting teams to drive development, ensure compliance, and align local strategy with enterprise direction.

The role requires 8+ years in healthcare network management, 5+ years in leadership, and travel to Warwick at least 10% of the time.

Qualifications

• 8+ years of healthcare experience, including provider network management.
• 5+ years of leadership experience in a matrixed organization.
• Experience leading complex, cross-functional initiatives.
• Medicaid and/or DSNP programs.
• Provider network strategy and performance.
• CMS and state regulatory requirements.
• Ability to travel to the Warwick office at least 10% of the time based on business need.

Responsibilities

• Lead development and execution of Rhode Island DSNP/Medicaid network strategy.
• Identify network gaps and prioritize provider recruitment, expansion, and growth opportunities.
• Align market strategy with enterprise network direction while ensuring local competitiveness.
• Ensure compliance with federal and state network adequacy standards (e.g., time/distance, provider ratios).
• Lead audit readiness, regulatory submissions, and RFP-related network performance.
• Partner with enterprise teams to advance value-based and performance-driven strategies.
• Partner with UHN and contracting teams to influence provider recruitment and network build priorities.
• Guide contracting strategy by translating Rhode Island market needs into actionable priorities.
• Lead provider engagement strategy to improve satisfaction and ease of doing business.
• Identify and address provider friction points and escalation trends.
• Strengthen provider advocacy and support models in partnership with enterprise teams.
• Lead network-related initiatives across health plan, clinical, compliance, and enterprise partners.
• Support DSNP growth strategy and market expansion efforts.
• Ensure a competitive, locally differentiated network aligned to Rhode Island market needs.

Skills

Healthcare experience

Leadership

Network strategy

Regulatory knowledge

Travel flexibility

Job description

UnitedHealth Group in Rhode Island seeks a Director, Network Strategy & Performance to lead provider network strategy and performance for the DSNP and Medicaid lines. You will partner with national network/contracting teams to drive development, ensure compliance, and align local strategy with enterprise direction.

The role requires 8+ years in healthcare network management, 5+ years in leadership, and travel to Warwick at least 10% of the time.