Remote Provider Network Contract Lead

Taleo; Minnetonka (MN); Remote; USD 92,000 - 164,000; Full time

Job summary

UnitedHealth Group is seeking a Senior Healthcare Provider Network Contract Manager for the Midwest region. This leadership role focuses on developing and supporting provider networks while managing unit costs through pricing models and rigorous analysis.

You will guide negotiations, ensure templates and controls, and collaborate with cross-functional teams in a fast-paced environment. Remote work is available from anywhere in the U.S., with opportunities to advance within a Fortune 6

Qualifications

• 5+ years of experience in a network management-related role handling complex network providers with accountability for business results.
• 5+ years of experience in the health care industry.
• 2+ years of experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions.
• Proven in-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
• Driver’s License and access to reliable transportation.

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, trend management and appropriate distribution of provider specialties
• Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
• Review work performed by others and provide recommendations for improvement
• Forecast and plan resource requirements
• Authorize deviations from standards

Skills

5+ years of experience in a network

5+ years in healthcare industry

2+ years provider contracting

RBRVS/DRGs knowledge

Driver’s license

Job description

UnitedHealth Group is seeking a Senior Healthcare Provider Network Contract Manager for the Midwest region. This leadership role focuses on developing and supporting provider networks while managing unit costs through pricing models and rigorous analysis.

You will guide negotiations, ensure templates and controls, and collaborate with cross-functional teams in a fast-paced environment. Remote work is available from anywhere in the U.S., with opportunities to advance within a Fortune 6