Remote Senior Network Contracts Strategist

UnitedHealth Group; Minneapolis (MN); Remote; USD 92,000 - 164,000; Full time

Job summary

UnitedHealth Group is seeking a Senior Network Contract Manager to lead provider contracting and network development strategies remotely across the United States. You will negotiate with large academic hospitals and health systems, manage financial projections, and drive network growth while aligning with client goals.

The role requires deep Medicare/Medicaid knowledge, strong Excel-based modeling, and proven negotiation skills.

Qualifications

• 5+ years in a network management-related role handling complex network providers with accountability for business results
• 5+ years 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
• Knowledge of Medicare and Medicaid regulations
• In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
• Intermediate level of proficiency with MS Excel and other Microsoft Office applications
• Driver’s License and access to reliable transportation

Responsibilities

• Analyze and evaluate payment appendices to strategize options for various contracting approaches and methodologies
• Evaluate market rates and provider performance to establish provider rates and negotiation strategies
• Explain the organization's direction and strategy to providers to justify methodologies, processes, policies, and procedures
• Input contract projections into tools and analyze financial impact to achieve company goals
• Communicate proposed contractual terms with providers and negotiate mutually acceptable agreements
• Establish and manage relationships with providers to navigate operational, legal, financial and clinical matters

Skills

Network management

Provider contracting

Contract negotiations

Financial modeling

Medicare/Medicaid knowledge

Driver's license

Tools

MS Excel

Job description

UnitedHealth Group is seeking a Senior Network Contract Manager to lead provider contracting and network development strategies remotely across the United States. You will negotiate with large academic hospitals and health systems, manage financial projections, and drive network growth while aligning with client goals.

The role requires deep Medicare/Medicaid knowledge, strong Excel-based modeling, and proven negotiation skills.