Network Contract Manager, Dental - Remote

Optum • Full-time • Remote (La Crosse, Wisconsin, United States) • $71.20k - $127.20k / year • 2m ago

Optum Serve is the federal health services arm of Optum, dedicated to supporting U.S. government agencies in delivering modern, high‑quality health care. We partner with organizations like the Departments of Veterans Affairs, Defense, and Health & Human Services to provide nationwide health services, advanced technology solutions, and community care programs. Our mission is to improve health outcomes for service members, Veterans, and public‑health populations through innovation, collaboration, and compassionate care.

The Network Contract Manager will assist in building a provider network of quality dental providers. This network will be geographically competitive, offer broad access, and remain stable, meeting goals for cost performance and trend management. The resulting network will deliver an affordable and predictable product for customers and business partners.

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 providers
Influence and/or provide input to forecasting and planning activities for network growth
Establish and maintain solid business relationships with assigned providers and internal partners
Work cross functionally to facilitate resolution of issues

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:

1+ years of experience in a network management-related role, such as contracting or provider services
Experience with client-facing responsibilities, including issue resolution and contract negotiations
Intermediate proficiency using MS Office (Outlook, Word, Excel, PowerPoint)
Proven ability to solve complex issues and unique situations
Driver's License and access to a reliable transportation

Preferred Qualifications:

Experience using financial models and analysis to negotiate rates with provider
Experience performing network adequacy analysis
Intermediate level of knowledge of claims processing systems and guidelines
Experience using MedNet
Experience using Tableau
Working knowledge of dental terminology
Knowledge and understanding of military protocol
Knowledge of OSHA compliance and health safety standards
In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)

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 $71,200 to $127,200 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 make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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