Vice President, Healthcare Provider Network Contracting

UnitedHealth Group•Phoenix, AZ

3d•$159,300 - $273,200

About The Position

At UnitedHealthcare, this role supports the development and management of provider networks and unit cost management activities through financial and network pricing modeling, analysis, and reporting. The Vice President guides geographically competitive, broad-access, stable networks that meet unit cost performance and trend management objectives. The role develops and executes strategies spanning a large business unit or multiple markets and sites, and applies network configuration and incentive-based payment models to improve quality and efficiency. This high-profile role leads efforts to achieve synergy targets through contracting with network providers and leads the team supporting the UnitedHealthcare client relationship for network and provider management. It also directs others in resolving business problems that affect multiple functions or disciplines, and directs work that impacts entire functions and/or internal or external customer accounts.

Requirements

10+ years of management experience in a network management-related role handling complex network providers with accountability for business results.
8+ years of experience developing product pricing and using financial modeling to make rate decisions.
5+ years of experience developing and managing a medical cost and administrative budget.
5+ years of experience with provider contracting.
Expert-level knowledge of Medicare Resource Based Relative Value System (RBRVS), Diagnosis Related Groups, Ambulatory Surgery Center Groupers, etc.
Driver’s license and access to reliable transportation.

Responsibilities

Guide development of geographically competitive, broad-access, stable networks that achieve unit cost performance and trend management objectives.
Develop and execute strategies for a function or discipline spanning a large business unit or multiple markets or sites.
Apply network configuration and incentive-based payment models to improve quality and efficiency.
Direct others to resolve business problems affecting multiple functions or disciplines.
Direct work that impacts entire functions and/or internal or external customer accounts.
Lead efforts to achieve synergy targets through contracting with network providers.
Lead the team supporting the UnitedHealthcare client relationship for network and provider management.
Develop and support provider networks and unit cost management activities through financial and network pricing modeling, analysis, and reporting.