Remote Regional Director, Network Contracting & Partnerships

Optum; Overland Park (KS); Remote; USD 113,000 - 193,000; Full time

Benefits offered by this job

Benefits package

401k contribution

Job summary

Optum is seeking a Regional Director to lead Provider Relations Advocates across the Central Region, coordinating network strategy for Commercial, Medicare and Medicaid programs. The role emphasizes contract development, pricing and performance oversight, with a focus on regional priorities and stakeholder collaboration.

You will drive network adequacy, lead a large team, and partner with cross-functional leaders to deliver exceptional provider experiences while navigating complex contracts and

Qualifications

• 5+ years of management in a network contract management-related role handling complex network provider contracts, recruitment, and negotiations with accountability for business results
• 5+ years of experience developing product pricing and utilizing financial modeling and data analytics in making rate decisions
• 5+ years of experience developing and managing a medical cost and administrative budget
• 5+ years of experience with Group, Agency and Facility contracting, contract strategy, rate methodologies, contract language and terms of agreement
• Knowledge of Sales Force and Excel

Responsibilities

• Provides leadership to and is accountable for the performance of Contract Managers and senior level professional staff
• Guide development of geographically competitive, broad access, stable Commercial, Medicare and Medicaid networks that meet Adequacy and Access standards, client expectations and achieve objectives for unit cost performance and trend management
• Evaluate current contract performance to identify potential remediation opportunities and/or cost savings
• Review and develop contract language to assess financial and operational impact and legal implications of new or requested contract changes
• Develop and execute strategies for successful new products, implementations/expansions and recruitment initiatives required to meet network adequacy and access standards
• Work closely with the SWAT Contracting Team, Provider Relations Team and Project Managers to assure network goals are met
• Work most often impacts a large business unit, or multiple markets/sites/customers
• Direct and support others to resolve business problems that affect multiple functions or disciplines
• Direct work that impacts entire functions and/or customer accounts (internal and external)
• Clearly communicate status of large network development and contracting initiatives to internal and external customers
• Develop Payment Appendices as needed to support business rate strategy
• Create a team environment that is compassionate, supportive, inclusive, collaborative, curious and goal/performance driven

Skills

Contract management

Team leadership

Pricing & modeling

Budget management

Salesforce

Excel

Tools

Salesforce

Excel

Job description

Optum is seeking a Regional Director to lead Provider Relations Advocates across the Central Region, coordinating network strategy for Commercial, Medicare and Medicaid programs. The role emphasizes contract development, pricing and performance oversight, with a focus on regional priorities and stakeholder collaboration.

You will drive network adequacy, lead a large team, and partner with cross-functional leaders to deliver exceptional provider experiences while navigating complex contracts and