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Manager, Provider Network Contracting - Remote

UnitedHealth Group

RemoteDallas, TexasMid$91.7k – $163.7k/yr
Sign in to applyVerified 1h ago
Location
Dallas, Texas
Work model
Remote
Level
Mid
Salary
$91.7k – $163.7k/yr

About this role

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 opportunity. As a Manager within our Network Contracting team, you will lead physician and facility contracting strategies that strengthen network access, affordability, stability and provider performance. You will oversee complex negotiations across hospital systems, ambulatory facilities, independent and employed physician groups, and other high-impact provider organizations. The role combines market strategy, contract development, financial analysis, relationship management and people leadership, with accountability for delivering contracting outcomes that support business, network and medical cost objectives. How you will make an impact. You will serve as a senior contracting partner to internal leaders and external provider executives, translating market needs and financial insights into actionable negotiation strategies. You will guide your team through the full contracting lifecycle, from opportunity assessment and negotiation planning through execution, implementation and ongoing contract performance management. Work arrangement. You will enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

Lead the development and execution of physician and facility contracting strategies aligned with market affordability, network access, product and growth objectives Own and direct complex negotiations with hospitals, health systems, ambulatory surgery centers, ancillary facilities, independent physician associations, large medical groups and other physician organizations Evaluate, structure and negotiate contract terms using approved company templates, reimbursement standards and process controls, including fee schedules, case rates, per diems, DRG-based methodologies, RBRVS-based physician reimbursement, ASC groupers and other value-oriented arrangements Develop negotiation positions and contract recommendations using financial modeling, unit cost analysis, utilization trends, competitive intelligence, provider performance information and total cost-of-care considerations Assess the financial and network impact of proposed rate changes, contract provisions, renewals, amendments, terminations and new provider arrangements; clearly communicate risks, tradeoffs and recommendations to leadership Manage physician and facility unit cost budgets, affordability targets, forecasts, savings commitments, performance reporting and associated financial models Guide the development and maintenance of geographically competitive, broad-access and stable physician and facility networks that meet specialty, service-area, product and regulatory requirements Identify network gaps, concentration risks and contracting opportunities across physician specialties, hospitals and facility types; establish action plans to improve network adequacy and market competitiveness Build and maintain effective executive-level relationships with hospital and health-system leaders, facility administrators, physician group executives and other key provider stakeholders Lead contract issue resolution and escalation activities involving reimbursement, contract interpretation, implementation, operational performance, network disruption and provider relationship concerns Partner cross-functionally with network analytics, pricing, finance, legal, medical

Listing verified 1h ago. Applications go through the company's official careers site.

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Manager, Provider Network Contracting - Remote at UnitedHealth Group, Dallas, Texas | Yoinka