Regional Contract Manager - Remote

UnitedHealth Group•Houston, TX

13h•$72,800 - $130,000•Remote

About The Position

The Regional Contract Manager will manage 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. This position also involves hosting Joint Operating Committee meetings, educating accounts on compliance and best practices, and collaborating across departments to deliver creative solutions. If you’re self-motivated, relationship-driven, and ready to make an impact, this is the opportunity for you! You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

3+ years of experience in a network management-related role handling complex network providers with accountability for business results
Proficiency with Microsoft Suite Applications (Outlook, Excel, Word, PowerPoint, Teams)
Experience with client-facing responsibilities, including issue resolution and contract negotiations
Experience performing network adequacy analysis
Intermediate level of knowledge of claims processing systems and guidelines
Understanding of network adequacy analytics and how to prioritize the work based on data
Proven ability to solve complex issues and unique situations
Driver’s License and access to a reliable transportation

Nice To Haves

Experience with direct provider contracting, including facility, physician and ancillary
Experience working with large accounts
Experience with building brand new networks
Experience working in Tableau
Knowledge and understanding of military protocol

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