Senior Provider Network Contracts Leader — Remote

UnitedHealth Group; Atlanta (GA); Remote; USD 91,000 - 164,000; Full time

Benefits offered by this job

Benefits package

Incentive programs

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group is seeking a senior role focused on guiding the development and support of Provider Networks and unit cost management. This leadership position involves financial modeling, pricing decisions, and complex negotiations to improve access and cost performance across geographically distributed networks.

Located in the United States, the role offers flexibility for remote work in eligible markets with a Fortune 5 employer committed to equitable care and innovation.

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.
• In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.

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

Network management

Healthcare experience

Provider contracting

Financial modeling

Medicare knowledge

Job description

UnitedHealth Group is seeking a senior role focused on guiding the development and support of Provider Networks and unit cost management. This leadership position involves financial modeling, pricing decisions, and complex negotiations to improve access and cost performance across geographically distributed networks.

Located in the United States, the role offers flexibility for remote work in eligible markets with a Fortune 5 employer committed to equitable care and innovation.