VP Payer Contracting - Remote

UnitedHealth Group•Auburndale, MA

23h•$159,300 - $273,200•Remote

About The Position

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. As the VP Payer Contracting on our Optum Care team supporting the New England market, you will play a key leadership role in guiding the development and execution of strategic payer and preferred relationships. In this role, you will lead high-performing teams, shape value-based reimbursement arrangements, and cultivate key network partnerships that support outstanding patient care and drive enterprise results. By championing innovative contracting strategies and robust reporting structures, you will help transform care delivery across emerging provider networks while leveraging the extensive resources and backing of a Fortune 4 leader. If you are located in Massachusetts, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

10+ years of management experience in payer contracting, network management, or a closely related role with accountability for business results
5+ years of experience developing and managing medical cost and administrative budgets
5+ years of experience with payer or provider contracting, including hands-on experience with risk- and value-based payment methodologies (e.g., full risk, shared risk, capitation)
Demonstrated expert-level knowledge of healthcare reimbursement methods, pricing structures, and regulatory systems

Nice To Haves

3+ years of specific contracting experience within the Massachusetts and broader New England healthcare market
Experience establishing senior executive reporting and performance governance for value-based contracts
Proven track record of leading matrixed teams and driving multi-market strategy within large healthcare organizations

Responsibilities

Lead payer and preferred provider contracting strategy and execution for Optum Care’s New England market
Ensure Optum’s payer contracts are best-in-class, financially sustainable, and aligned with organizational strategic goals
Develop, negotiate, and execute value-based arrangements, including full risk, shared risk, capitation, and pay-for-performance models
Cultivate and maintain strategic partnership relationships between Optum and key payer and preferred network partners
Partner internally with Optum clinical and operational leaders to support contract performance and operational alignment
Develop and optimize reporting, governance, and oversight structures to track key performance metrics and achieve strategic goals
Lead, mentor, and direct the market payer and preferred provider contracting team
Drive strategies and resolve complex business challenges that span multiple functions, disciplines, or market sites