Strategic Leader, Provider Network & Pricing

UnitedHealthcare; New Orleans (LA); On-site; USD 113,000 - 193,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Job summary

UnitedHealthcare is seeking an Associate Director, Provider Network Contracting to guide development of networks, pricing modeling and cost management in a leadership role. This position focuses on building geographically competitive, high-quality networks while aligning pricing with value and outcomes.

You will lead cross-functional teams, implement rate-setting strategies, and drive financial analyses that support optimal care delivery.

Qualifications

• 5+ years of supervisory level experience in a network management-related role handling complex network providers with accountability for business results.
• 2+ years of experience developing product pricing and utilizing financial modeling in making rate decisions.
• 2+ years of experience managing a medical cost and administrative budget.
• 2+ years of experience with provider contracting.
• Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.

Responsibilities

• Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management.
• Develop functional, market level and/or site strategy, plans, production and/or organizational priorities.
• Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency.
• Identify and resolve technical, operational and organizational problems.
• Direct work that impacts entire functions and/or customer accounts (internal or external).

Skills

Supervisory leadership

Pricing & financial modeling

Budget management

Provider contracting

Medicare pricing knowledge

Job description

UnitedHealthcare is seeking an Associate Director, Provider Network Contracting to guide development of networks, pricing modeling and cost management in a leadership role. This position focuses on building geographically competitive, high-quality networks while aligning pricing with value and outcomes.

You will lead cross-functional teams, implement rate-setting strategies, and drive financial analyses that support optimal care delivery.