Strategic Network Contracts Manager - Remote

UnitedHealth Group; Draper (UT); Remote; USD 92,000 - 164,000; Full time

Job summary

UnitedHealth Group in the United States is seeking a Senior Specialty Network Contract Manager to build and maintain a high-quality provider network across specialist physicians, pharmacies, and facilities. You will negotiate contracts, analyze performance data, and collaborate with cross-functional teams to maximize value.

This role offers remote work from anywhere in the U.S. and requires at least 3 years in healthcare contracting, strong negotiation skills, and the ability to travel up to 25%

Qualifications

• 3+ years of experience in a healthcare network management-related role (e.g., contracting or provider services).
• 3+ years of experience in fee schedule development using actuarial models or similar analyses.
• 3+ years of experience using financial models and analysis to negotiate rates with providers.
• 3+ years of experience in performing network adequacy analysis.
• 2+ years working with a managed care organization or health insurer; or as a consultant in a network/contract management role.
• In-depth knowledge of Medicare RBRVS; intermediate claims processing systems knowledge.

Responsibilities

• Build and maintain provider network strategy and policy.
• Negotiate new contracts to maximize revenue and ensure compliance.
• Establish and maintain relationships with network providers.
• Collaborate with Medical Directors, finance, and operations to meet performance goals.
• Provide data-driven insights to improve network construction and tiering.

Skills

Contract negotiation

Provider contracting

Data analysis

Cross-functional collaboration

Education

Bachelor's degree (related field)

Tools

MS Office

Job description

UnitedHealth Group in the United States is seeking a Senior Specialty Network Contract Manager to build and maintain a high-quality provider network across specialist physicians, pharmacies, and facilities. You will negotiate contracts, analyze performance data, and collaborate with cross-functional teams to maximize value.

This role offers remote work from anywhere in the U.S. and requires at least 3 years in healthcare contracting, strong negotiation skills, and the ability to travel up to 25%