Remote Network Contracts & Pricing Leader

UnitedHealth Group; Seattle (WA); Remote; Confidential; Full time

Benefits offered by this job

Comprehensive benefits package

Equity participation

401k contribution

Job summary

UnitedHealth Group seeks a Network Contract Manager to lead provider networks, unit-cost analytics and advanced pricing analysis. This role shapes how networks evolve to deliver high-quality, affordable care and reports to leadership in a fast-paced environment.

Based remotely with preference for WA/OR/MT regions, you will guide contract development, perform financial modeling and negotiate terms with providers, supporting strategic network objectives.

Qualifications

• 4+ years in a network management-related role, such as contracting or provider services.
• 3+ years of experience in fee schedule development using actuarial models.
• 3+ years of experience using financial models and analysis to negotiate rates with providers.
• 3+ years of experience in performing network adequacy analysis.
• In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS).
• Intermediate level of knowledge of claims processing systems and guidelines.

Responsibilities

• Manage unit cost budgets, target setting, performance reporting and associated financial models
• Guide development of geographically competitive, broad access, stable networks that achieve 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
• Coach, provide feedback and guide others

Skills

Contracting

Provider networks

Financial modeling

RBRVS knowledge

Negotiation

Leadership

Job description

UnitedHealth Group seeks a Network Contract Manager to lead provider networks, unit-cost analytics and advanced pricing analysis. This role shapes how networks evolve to deliver high-quality, affordable care and reports to leadership in a fast-paced environment.

Based remotely with preference for WA/OR/MT regions, you will guide contract development, perform financial modeling and negotiate terms with providers, supporting strategic network objectives.