Vice-President, Provider Network Contracting
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. You've been building towards this. We've been building towards you. The health care system needs are evolving at a fast clip and innovators like UnitedHealth Group are playing a lead role. New models of care and new networks of providers are emerging now to better serve patients and communities. Here's where you come in. As a director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader. This challenging, high-profile role will put your skills and experience to the test daily. You'll be charged with leading the efforts to achieve synergy targets through contracting with our network providers. In addition, you will lead the high-performing team that supports the UnitedHealthcare client relationship for network/provider management. 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.
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 in developing of product pricing and utilizing financial modeling in making rate decisions
- 5+ years of experience developing and managing a medical cost and administrative budget
- 5+ years of experience with provider contracting
- Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), Diagnosis Related Groups, Ambulatory Surgery Center Groupers, etc.
Responsibilities
- Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
- Develop and execute strategies for a function or discipline that span a large business unit or multiple markets/sites
- Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency
- Direct others to resolve business problems that affect multiple functions or disciplines
- Direct work that impacts entire functions and/or customer accounts (internal or external)
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Executive
Education Level
No Education Listed
