Senior Provider Network Contract Manager

UnitedHealth Group; Brentwood (TN); Hybrid; Confidential; Full time

Job summary

UnitedHealthcare, part of UnitedHealth Group, offers a role focused on guiding provider networks and unit cost management through financial and pricing modeling, analysis and reporting. The position supports remote work options for Tennessee residents, with a salary range stated for full-time employment.

The role requires the ability to forecast resources, evaluate contracts, and ensure networks meet cost and access objectives while maintaining compliance with templates and standards.

Responsibilities

• Manage unit cost budgets, target setting, performance reporting and associated financial models
• Guide development of geographically competitive, broad access, stable networks that achieve unit cost objectives
• Evaluate and negotiate contracts focused on hospitals, clinics, and ancillary providers
• Forecast and plan resource requirements
• Authorize deviations from standards
• Demonstrate expertise in provider network functions in a fast-paced environment
• Take initiative and use problem-solving skills for issue resolution
• Work independently with minimal instruction
• Be attentive to detail, flexible, and capable of multi-tasking to meet deadlines
• Analyze information from various sources and prioritize/concurrent initiatives

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. You'll guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader.

If you reside in the state of Tennessee, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary 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 with a focus on hospitals, clinics, and ancillary providers
• Forecast and plan resource requirements
• Authorize deviations from standards

In this role you will be expected to:

• Demonstrate expertise in provider network functions, ability to work in a fast-paced environment
• Ability to take initiative and use problem-solving skills for issue resolution
• Work independently with little need for instruction, guidance or direction
• Must be attentive to detail, work with flexibility, and have the capability of multi-tasking to meet deadlines and deliverables
• Analytical and problem‑solving skills, with a demonstrated ability to gather, understand, and evaluate information from various sources
• Ability to prioritize and manage concurrent, and occasionally, competing initiatives

*Employees in jobs labeled with 'SCA' must support a government Service Contract Act (SCA) agreement.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full‑time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.