Director of Network Strategy and Performance - Remote - Rhode Island
About The Position
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 Director, Network Strategy & Performance, is responsible for leading provider network strategy, performance, and operational oversight for the Rhode Island DSNP and Medicaid lines of business. This role is accountable for ensuring the health plan delivers a high-performing, compliant, and competitive provider network that meets access, affordability, and quality expectations. This leader will partner closely with UnitedHealthcare National (UHN) network and contracting teams to influence network development and execution, while maintaining full accountability for market-level outcomes. If you are able to travel to Rhode Island office at least 10%25 of the time based on business needs, you will have the flexibility to work remotely, as well as work in the office as you take on some tough challenges.
Requirements
- 8+ years of healthcare experience, including provider network management
- 5+ years of leadership experience in a matrixed organization
- Experience leading complex, cross-functional initiatives
- Medicaid and/or DSNP programs
- Provider network strategy and performance
- CMS and state regulatory requirements
- Ability to travel to the Warwick office at least 10%25 of the time based on business need
Nice To Haves
- Experience working in a model partnering with enterprise network/contracting teams (UHN/PROS)
- Experience supporting RFPs, network builds, or new market expansion
- Experience with Rhode Island Medicaid and/or DSNP programs
- Background in value-based care or provider performance management
Responsibilities
- Lead development and execution of Rhode Island DSNP/Medicaid network strategy
- Identify network gaps and prioritize provider recruitment, expansion, and growth opportunities
- Align market strategy with enterprise network direction while ensuring local competitiveness
- Ensure compliance with federal and state network adequacy standards (e.g., time/distance, provider ratios)
- Lead audit readiness, regulatory submissions, and RFP-related network performance
- Serve as the accountable market leader for network compliance and access outcomes
- Monitor network performance across access, quality, cost, and provider experience
- Drive action plans to address network gaps, provider access issues, and performance risks
- Partner with enterprise teams to advance value-based and performance-driven strategies
- Partner with UHN and contracting teams to influence provider recruitment and network build priorities
- Guide contracting strategy by translating Rhode Island market needs into actionable priorities
- Ensure alignment between enterprise execution and local network strategy
- Lead provider engagement strategy to improve satisfaction and ease of doing business
- Identify and address provider friction points and escalation trends
- Strengthen provider advocacy and support models in partnership with enterprise teams
- Lead network-related initiatives across health plan, clinical, compliance, and enterprise partners
- Support DSNP growth strategy and market expansion efforts
- Ensure a competitive, locally differentiated network aligned to Rhode Island market needs
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
