Vice-President, Provider Network Contracting

UnitedHealth Group • Denver, CO

296d • $150,200 - $288,500 • Onsite

About The Position

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Vice President of Network Contracting reports to the West Regional President and is responsible for leading the Colorado and Wyoming markets. This market leader will represent UHG for all lines of business covering commercial, Medicare, Medicaid and Exchange products. This leader will need to help develop, design and manage unique narrow networks within each of these business lines to ensure growth and performance of each network meeting UHG needs. Additionally, market leaders build, attract, develop a best in class performing network contracting team while working with all other UnitedHealthcare teams as well as Optum. The leader must be able to support all provider reimbursement types from Fee for Service to Capitation.

Requirements

• 10+ years of experience in a network management-related role handling complex network providers
• 10+ years of contracting experience in Network/Provider Management
• 8+ years of healthcare experience
• 8+ years of experience in product pricing, financial modeling, and managing a budget
• 5+ years of supervisory experience
• Driver's License and access to a reliable transportation

Nice To Haves

• Ability to communicate a vision and drive results
• Ability to successfully function in a matrix organization
• Ability to successfully leverage relationships both internal and external
• Proven solid independent decision-making skills to drive sound, quality decisions in a timely manner
• Proven solid ability to operate and influence across the enterprise to drive critical decisions and execution
• Demonstrated broad-scope financial expertise

Responsibilities

• Develop, design, and manage the medical network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) to yield a geographically competitive network that achieves objectives for unit cost performance and trend management and produces an affordable, predictable product for customers and business partners
• Oversee all lines of business to meet the unique expectation of each business lines member
• Hire, develop, and retain a high performing contracting team working cross company departments to ensure MOB are met
• Establish reimbursement structure standards and other key process controls
• Ensure the network composition includes an appropriate distribution of provider specialties for each line of business and includes multiple narrow network products
• Lead and develop market strategies and visions across multiple lines of business
• Develop, translate, and execute business strategies and objectives for respective markets in the West region for all lines of business
• Network configuration and incentive-based payment models as appropriate to improve quality and efficiency
• Lead a large multi-state team; direct others to resolve highly complex or unusual business problems

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Industry: Insurance Carriers and Related Activities