Remote Provider Network Contracting Manager

UnitedHealth Group; Dallas (TX); Hybrid; Confidential; Full time

Job summary

UnitedHealthcare, a part of UnitedHealth Group, seeks a Manager within our Network Contracting team to lead physician and facility contracting strategies that strengthen access, affordability and provider performance.

You will oversee complex negotiations across hospital systems, ambulatory facilities and large physician groups, guiding the full lifecycle from opportunity assessment to implementation and ongoing performance management. Remote work within the U.S. is supported.

Qualifications

• 5+ years of experience in network management or provider contracting with complex physician and facility providers and accountability for business results
• 3+ years of supervisory or people leadership experience
• 2+ years of direct provider contracting experience, including facility contracting and physician or medical group negotiations
• 2+ years of experience contributing to product pricing, using financial modeling to support rate decisions, and managing medical cost and administrative budgets
• Demonstrated experience developing negotiation strategies, evaluating contract economics and leading agreements from initial assessment through execution and implementation
• Experience interpreting financial, utilization, network and market data and translating findings into clear contracting recommendations
• Advanced knowledge of provider reimbursement methodologies, including Medicare RBRVS, DRGs, ambulatory surgery center groupers, fee schedules, case rates, per diems and related payment structures
• Demonstrated ability to manage competing priorities, lead through ambiguity and influence internal and external stakeholders without direct authority
• Driver's license and access to reliable transportation

Responsibilities

• Lead the development and execution of physician and facility contracting strategies aligned with market affordability, network access, product and growth objectives
• Own and direct complex negotiations with hospitals, health systems, ambulatory surgery centers, ancillary facilities, independent physician associations, large medical groups and other physician organizations
• Evaluate, structure and negotiate contract terms using approved company templates, reimbursement standards and process controls, including fee schedules, case rates, per diems, DRG-based methodologies, RBRVS-based physician reimbursement, ASC groupers and other value-oriented arrangements
• Develop negotiation positions and contract recommendations using financial modeling, unit cost analysis, utilization trends, competitive intelligence, provider performance information and total cost-of-care considerations
• Assess the financial and network impact of proposed rate changes, contract provisions, renewals, amendments, terminations and new provider arrangements; clearly communicate risks, tradeoffs and recommendations to leadership
• Manage physician and facility unit cost budgets, affordability targets, forecasts, savings commitments, performance reporting and associated financial models
• Guide the development and maintenance of geographically competitive, broad-access and stable physician and facility networks that meet specialty, service-area, product and regulatory requirements
• Identify network gaps, concentration risks and contracting opportunities across physician specialties, hospitals and facility types; establish action plans to improve network adequacy and market competitiveness
• Build and maintain effective executive-level relationships with hospital and health-system leaders, facility administrators, physician group executives and other key provider stakeholders
• Lead contract issue resolution and escalation activities involving reimbursement, contract interpretation, implementation, operational performance, network disruption and provider relationship concerns
• Partner cross-functionally with network analytics, pricing, finance, legal, medical economics, operations, claims, product, sales and market leadership to ensure contracts are financially sound, operationally executable and aligned with business priorities
• Ensure accurate and timely transition of executed agreements to implementation teams, including clear documentation of negotiated terms, effective dates, reimbursement exhibits and operational requirements
• Monitor post-implementation contract performance and provider results; initiate corrective action or renegotiation when outcomes do not align with contractual, financial or network expectations
• Set team direction, establish priorities, coach contracting professionals, resolve complex problems and promote consistent use of negotiation discipline, documentation and governance processes
• Influence forecasting, planning and market strategy by providing leadership with clear insights on provider dynamics, contracting risk, network performance and emerging physician and facility trends
• Leadership and Relationship Expectations
• Create a high-accountability team culture centered on preparation, disciplined negotiation, timely execution, sound judgment and measurable business results
• Provide hands-on coaching for complex physician and facility negotiations, including strategy development, financial positioning, executive presentations and escalation planning
• Represent the organization credibly with provider executives and internal senior leaders, balancing relationship stewardship with affordability, access and contract compliance objectives
• Develop team capability in reimbursement methodologies, financial analysis, market intelligence, contracting systems and end-to-end contract management

Skills

Network management

Provider contracting

Negotiation

Financial modeling

Leadership

Cross-functional collaboration

Job description

UnitedHealthcare, a part of UnitedHealth Group, seeks a Manager within our Network Contracting team to lead physician and facility contracting strategies that strengthen access, affordability and provider performance.

You will oversee complex negotiations across hospital systems, ambulatory facilities and large physician groups, guiding the full lifecycle from opportunity assessment to implementation and ongoing performance management. Remote work within the U.S. is supported.