Director of Network Contracting - Albuquerque, New Mexico - 2288087

Company: UnitedHealth Group
Location: Albuquerque
Posted on: June 1, 2025

Job Description:

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
Position Overview
The Director of Network Contracting is responsible for the clinical, financial, and NPS performance of the Optum IPA physicians and Network Program Managers. The role supports operational and strategic activities by developing and maintaining operational information and models for IPA practices. Key responsibilities include contract development and negotiations, budget planning, and driving strategic growth while upholding Optum Standards. The leader develops and implements strategic business solutions through data analysis and ensures maximum network performance in quality, coding, and provider satisfaction. Strong interpersonal skills are essential as the role involves daily interaction with physicians and staff, with accountability for Network Program Managers' performance. Compliance with policies, procedures, and regulations is mandatory, including participation in required training.
Core Competencies

• 
  
• Aligning Performance for Success
  
• Gaining Commitment
  
• Selecting Talent
  
• Strategic Decision-Making
  
• Patient Relations
  
• Business Acumen
  
• Developing Others
  
• Leadership Disposition
  
• Planning and Organizing
  
  Location and Flexibility
  If located in Albuquerque, NM, you will have the flexibility to work remotely* while tackling significant challenges.
  Primary Responsibilities
  
  
• Develop Provider Contracting strategies and business plans.
  
• Initiate and drive process improvements to enhance operational efficiency and customer experience.
  
• Analyze reports and data to develop strategic performance plans.
  
• Build and maintain relationships with network providers to ensure satisfaction and compliance with standards.
  
• Act as liaison between Provider Contracting and other departments to resolve issues.
  
• Review, analyze, and negotiate provider contract proposals.
  
• Oversee financials across all business lines to ensure contractual compliance and performance.
  
• Manage contract renegotiations to maintain competitiveness and strategic alignment.
  
• Engage in strategic planning, data analysis, and quality interactions.
  
• Educate providers on health plan products and processes, lead project planning, and serve as a liaison.
  
• Maintain and develop contracts within the territory.
  
• Assess customer needs and develop strategies to meet performance goals.
  
• Solve complex problems and conduct analyses.
  
• Provide guidance and mentorship to staff and new team members.
  
• Perform other duties as assigned.
  
  Required Qualifications
  
  • 
    
  • 7+ years in Provider Contracting with managed healthcare knowledge.
    
  • 5+ years in network data management within managed care.
    
  • 5+ years management/supervisory experience.
    
  • 3+ years in the healthcare industry.
    
  • Experience with Medicare Advantage, risk adjustment, and provider collaboration.
    
  • Knowledge of medical terminology, ICD-10, CPT, HCPCS coding.
    
  • Understanding provider compensation and contract management systems.
    
  • Proven negotiation skills and provider relations expertise.
    
  • Ability to work in Albuquerque, NM, with 2x weekly in-office presence and up to 15% travel within NM.
    
    Knowledge, Skills, and Abilities
    
    • 
      
    • Report compilation and presentation skills.
      
    • Leadership, counseling, and consulting abilities.
      
    • Excellent communication and analytical skills.
      
    • Ability to work closely with providers and convey complex information.
      
    • Prioritization skills in a dynamic environment.
      
    • Proficiency in MS Office (Excel, Access, PowerPoint).
      
    • Relationship-building at all organizational levels.
      
    • Ability to execute department priorities and influence stakeholders.
      
    • Valid driver's license required.
      
      Additional Information
      *Remote employees must adhere to UnitedHealth Group's Telecommuter Policy.
      The salary range is $106,800 to $194,200 annually, based on various factors including experience and location. Benefits include a comprehensive package, incentives, stock options, and 401k contributions.
      Our mission is to help people live healthier lives and improve the health system for everyone. We are committed to equity, environmental responsibility, and eliminating health disparities. OptumCare is an Equal Opportunity Employer and a drug-free workplace, requiring a pre-employment drug test.
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Keywords: UnitedHealth Group, Rio Rancho , Director of Network Contracting - Albuquerque, New Mexico - 2288087, Executive , Albuquerque, New Mexico