Regional Contract Manager - Remote

Optum; La Crosse (WI); Remote; USD 73,000 - 130,000; Full time

Job summary

UnitedHealth Group is seeking a Regional Contract Manager to oversee provider contracting, network development, and performance reporting. This role is remote within the United States, supporting a nationwide network and collaborating across departments to deliver compliant, cost-effective solutions.

You will negotiate contracts, guide network growth, and present to senior leaders, while educating accounts on policies and best practices and maintaining strategic provider relationships.

Qualifications

• 3+ years in a network management role handling complex providers.
• Experience with client-facing responsibilities, issue resolution and contract negotiations.
• Experience performing network adequacy analysis.
• Proficiency with Microsoft Office applications.
• Understanding of claims processing systems and guidelines.
• Knowledge of network adequacy analytics and prioritization based on data.
• Direct provider contracting experience preferred.
• Experience with large accounts and building new networks preferred.
• Experience with Tableau preferred.
• Knowledge of military protocol preferred.

Responsibilities

• Manage performance targets, reporting and financial models for provider contracting.
• Guide development of geographically competitive, stable networks.
• Negotiate provider contracts in line with templates and standards.
• Ensure network composition includes balanced provider types.
• Forecast and plan network growth initiatives.
• Maintain strong relationships with providers and internal partners.
• Research provider footprint and identify gap fillings.
• Host Joint Operating Committee meetings and present to senior leaders.
• Educate accounts on policies, procedures and best practices.
• Collaborate with other departments to support provider relations.
• Develop relationships with key departments to support account management.
• Think outside the box to create innovative solutions for challenges.
• Work independently with strong self-guidance and motivation.
• Monitor and assist accounts with OSHA compliance.

Skills

Network management

Client facing

Problem solving

Data analysis

Microsoft Office

Tools

Tableau

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Regional Contract Manager - Remote (2394190)

Regional Contract Manager - Remote - 2394190

Explore opportunities with Logistics Health Incorporated (LHI), part of the Optum family of business. We’re dedicated to simplifying the logistics of complex workforce health programs with cost-effective solutions and a seamless distribution process. With offices in La Crosse, Wis., a satellite office in Chicago and remote employees throughout the country, we have a variety of rewarding career opportunities for you. Elevate your career as you help us create a healthier tomorrow for everyone and discover the meaning behind Caring. Connecting. Growing together.

The Regional Contract Manager will manage performance targets, reporting, and financial models while building strong, geographically competitive networks that meet organizational goals. You’ll negotiate provider contracts, ensure balanced network composition, and drive growth through strategic forecasting and gap analysis. This position also involves hosting Joint Operating Committee meetings, educating accounts on compliance and best practices, and collaborating across departments to deliver creative solutions. If you’re self-motivated, relationship-driven, and ready to make an impact, this is the opportunity for you.

You’llenjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Manage performance target setting, performance reporting and associated financial models relative to provider network contracting
• Guide development of geographically competitive, broad access, stable networks that achieve objectives
• Evaluate, understand, and negotiate provider contracts in compliance with company templates, reimbursement structure standards and other key process controls
• Ensure that network composition includes an appropriate distribution of provider specialty types
• Influence and/or provide input to forecasting and planning activities for network growth
• Establish and maintain strong business relationships with assigned providers and internal partners
• Research provider footprint and evaluate for gap filling
• Host Joint Operating Committee (JOC) meetings with accounts and present to senior leaders
• Educate accounts on a wide range of topics to enhance their knowledge and compliance with policies, procedures, and best practices, in collaboration with others
• Understand and engage with other departments to support all aspects of provider relations
• Develop and maintain beneficial relationships with key departments to support account management
• Think outside the box to develop creative solutions for account challenges
• Work independently with strong self-guidance and motivation
• Monitor and assist accounts' with OSHA compliance to ensure safety standards are met

You’llbe 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 asprovidedevelopment for other roles you may be interested in.

Required Qualifications:

• 3+ years of experience in a network management-related role handling complex network providers with accountability for business results
• Experience with client-facing responsibilities, including issue resolution and contract negotiations
• Experience performing network adequacy analysis
• Proficiency with Microsoft Suite Applications (Outlook, Excel, Word, PowerPoint, Teams)
• Intermediate level of knowledge of claims processing systems and guidelines
• Understanding of network adequacy analytics and how to prioritize the work based on data
• Proven ability to solve complex issues and unique situations

Preferred Qualifications:

• Experience with direct provider contracting, including facility, physician and ancillary
• Experience working with large accounts
• Experience with building brand new networks
• Experience working in Tableau
• Knowledge and understanding of military protocol

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

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. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.

Provider Contracting & Network Development

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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