UnitedHealth Group Inc logo

Regional Contract Manager - Remote

UnitedHealth Group Inc
  • La Crosse, WI
  • Remote
  • $72,800–$130,000 Per Year
  • Autofill and Review
4 days ago

Job Description

Explore opportunities with Logistics Health Incorporated (LHI), part of the Optum family of business. We're dedicated to simplifying the logistics of complex workforce health programs with cost-effective solutions and a seamless distribution process. With offices in La Crosse, Wis., a satellite office in Chicago and remote employees throughout the country, we have a variety of rewarding career opportunities for you. Elevate your career as you help us create a healthier tomorrow for everyone and discover the meaning behind Caring. Connecting. Growing together.

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.

Primary 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

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 3+ years of experience in a network management-related role handling complex network providers with accountability for business results
  • Experience with client-facing responsibilities, including issue resolution and contract negotiations
  • Experience performing network adequacy analysis
  • Proficiency with Microsoft Suite Applications (Outlook, Excel, Word, PowerPoint, Teams)
  • 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

Preferred Qualifications:

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Numbers & Facts

LocationLa Crosse, WI (
Remote
)
IndustryHealthcare Services
Salary$72,800–$130,000 Per Year
Company Size10,000 employees or more
Year Founded1977
Websitehttp://careers.unitedhealthgroup.com/

About Company

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

https://www.youtube.com/watch?v=5PbNyi2IDkY

Caring. Connecting. Growing together.

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. Learn more about what we offer.

• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. Learn more about our culture.

• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. Discover all the ways you can learn, grow and develop.

Skills

  • Best Practicesunmatched
  • Claims Processingunmatched
  • Contract Managementunmatched
  • Contract Negotiationunmatched
  • Corporate Complianceunmatched
  • Customer Relationsunmatched
  • Establish Prioritiesunmatched
  • Financial Modelingunmatched
  • Forecastingunmatched
  • Gap Analysisunmatched
  • Healthcareunmatched
  • Logisticsunmatched
  • Microsoft Excelunmatched
  • Microsoft Outlookunmatched
  • Microsoft PowerPointunmatched
  • Microsoft Product Familyunmatched
  • Microsoft Wordunmatched
  • Militaryunmatched
  • Network Administration/Managementunmatched
  • Network Performance/Analysisunmatched
  • OSHAunmatched
  • Performance Analysisunmatched
  • Performance Managementunmatched
  • Problem Solving Skillsunmatched
  • Process Control Engineeringunmatched
  • Provider Contractingunmatched
  • Provider Relationsunmatched
  • Reimbursementunmatched
  • Safety Complianceunmatched
  • Safety Processunmatched
  • Safety Standardsunmatched
  • Sales Managementunmatched
  • Tableauunmatched
  • User Documentationunmatched
  • Work From Homeunmatched

Be found by employers

5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

Level up your application

Professional resume templates

Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

Free resume templates

Free resume builder

Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

Free resume builder