Remote Network Contract Manager - Provider Network & Pricing

UnitedHealthcare; New York (NY); Remote; USD 73,000 - 130,000; Full time

Job summary

UnitedHealthcare is seeking a Network Contract Manager to oversee provider networks and unit cost management. This remote role spans the U.S. and emphasizes contract negotiation and financial modeling to support pricing and network strategy.

The position requires 2+ years in network management, knowledge of Medicare RBRVS, and proficiency in Excel and MS Office. You will influence network composition and cost outcomes while collaborating across teams.

Qualifications

• 2+ years of experience in a network management-related role, such as contracting or provider services.
• Proven knowledge of provider reimbursement methodologies.
• Demonstrated knowledge of Medicare Resource Based Relative Value System (RBRVS).
• Experience using financial models to negotiate rates with providers.
• Advanced competency of Excel, including pivot tables, and MS Office Suite.

Responsibilities

• Manage unit cost budgets, target setting, performance reporting and associated financial models.
• Guide development of the network and negotiate agreements with facility, physicians, and medical groups yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management.
• Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls.
• Ensure that network composition includes an appropriate distribution of provider specialties.
• Provide explanations and information to others on difficult issues.
• Work cross functionally to facilitate resolution of issues.
• Position will support all contracting of primarily facility and physician providers for all lines of business.

Skills

Network management experience

Provider reimbursement knowledge

Medicare RBRVS knowledge

Contract negotiation

Tools

Excel

SharePoint

MS Office Suite

Job description

UnitedHealthcare is seeking a Network Contract Manager to oversee provider networks and unit cost management. This remote role spans the U.S. and emphasizes contract negotiation and financial modeling to support pricing and network strategy.

The position requires 2+ years in network management, knowledge of Medicare RBRVS, and proficiency in Excel and MS Office. You will influence network composition and cost outcomes while collaborating across teams.