Network Contract Manager - Remote

About the Role

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities.

This position involves managing performance targets, reporting, and financial models while building strong, geographically competitive networks that meet organizational goals. You'll negotiate provider contracts, ensure balanced network composition, and drive growth through strategic forecasting and gap analysis. Responsibilities also include hosting Joint Operating Committee meetings, educating accounts on compliance and best practices, and collaborating across departments to deliver creative solutions.

You'll enjoy the flexibility to work remotely from anywhere within the U.S.

Responsibilities

• Manage performance target setting, performance reporting, and associated financial models relative to provider network contracting
• Guide development of geographically competitive, broad access, stable networks that achieve objectives
• Evaluate, understand, and negotiate provider contracts in compliance with company templates, reimbursement structure standards, and other key process controls
• Ensure that network composition includes an appropriate distribution of provider specialty types
• Influence and/or provide input to forecasting and planning activities for network growth
• Establish and maintain strong business relationships with assigned providers and internal partners
• Research provider footprint and evaluate for gap filling
• Host Joint Operating Committee (JOC) meetings with accounts and present to senior leaders
• Educate accounts on a wide range of topics to enhance their knowledge and compliance with policies, procedures, and best practices, in collaboration with others
• Understand and engage with other departments to support all aspects of provider relations
• Develop and maintain beneficial relationships with key departments to support account management
• Think outside the box to develop creative solutions for account challenges
• Work independently with strong self-guidance and motivation
• Monitor and assist accounts with OSHA compliance to ensure safety standards are met

Requirements

• 4+ years of experience in a network management-related role, such as contracting or provider services
• 3+ years of experience in fee schedule development using actuarial models
• 3+ years of experience using financial models and analysis to negotiate rates with providers
• 3+ years of experience in performing network adequacy analysis
• In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
• Intermediate level of knowledge of claims processing systems and guidelines

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

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Pay

The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications.