VP Provider Network Contracting - Remote in GA, commutable to Atlanta

UnitedHealth Group•Atlanta, GA

50d•Remote

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. There's never been a time that was more right for people who want to lead. Health care is changing and evolving at a pace that few could have predicted. Technology, ideas, and bold vision are taking companies like UnitedHealth Group to new levels of performance. This is the time and the opportunity that can bring your impact to a whole new level. As a leader within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through strategy development and execution, contract negotiation, 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. If you are located in the State of GA or commutable to Atlanta, you will have the flexibility to work remotely as you take on some tough challenges. Your leadership skills and drive to accomplish things will be key to your success in this role. The end goal is to produce an affordable and predictable product for customers and business partners within the Georgia market, so you will need to be able to lead us forward and help us develop provider networks with hospitals, physician and ancillary providers yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend 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

6+ years of experience with provider contracting and utilizing financial modeling in making rate decisions
3+ years of experience focused on facility reimbursement and contract negotiations
2+ years of experience in a leadership role within the health care industry
Experience in managing direct reports in a leadership role
In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, and other provider payment methodologies
Extensive knowledge of, and work experience with, the Georgia facility, physician, and ancillary provider communities
Willing to reside within state of Georgia, and commutable to Atlanta, GA

Nice To Haves

6+ years of experience in a network management-related role handling complex network providers with accountability for business results
Knowledge of new product development and pricing
Knowledge of value-based care arrangements
Proven ability to develop and implement programs and projects in a strategic and professional manner
Proven solid ability to communicate effectively and efficiently (both verbal and written) within UHC and externally

Responsibilities

Manage unit cost budgets, target setting, performance reporting and associated financial models
Develop and implement network strategies for the Georgia market across all lines of business
Negotiate contracts with health systems and provider groups with a focus on unit cost competitiveness and affordability to support total cost of care and line of business objectives
Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency
Manage the implementation of new concepts, technologies, and products to meet emerging customer requirements
Direct cross-functional and/or industry-wide teams with segment-wide and/or enterprise-wide impact
Influence on senior management decisions that impact business direction
Must live in Georgia within a commutable distance of the Atlanta Office

Benefits

In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.

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