Vice President, Provider Network Contracting

UnitedHealthcare; Denver (CO); On-site; USD 159,000 - 273,000; Full time

Benefits offered by this job

Comprehensive benefits

Equity stock purchase

401k contribution

Incentive programs

Job summary

UnitedHealthcare, a leading health insurer, seeks a Vice President, Provider Network Contracting to lead development and pricing strategies for network providers. In this role, you will guide unit cost management, apply incentive-based models, and steer the contracting team to optimize access and value across markets.

With 10+ years in network management and 8+ years pricing experience, you’ll influence large-scale decisions in a Fortune 5 organization, reporting to the Network Development

Qualifications

• 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 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 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)

Skills

Network management

Pricing & financial modeling

Budget management

Provider contracting

Medicare RBRVS & DRG knowledge

Driver's license

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Vice President, Provider Network Contracting (2372458)

Vice President, Provider Network Contracting - 2372458

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.

Primary 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)

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.

Required Qualifications

• 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.
• Driver’s License and access to reliable transportation

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The salary for this role will range from $159,300 - $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.

Job

Provider Contracting & Network Development

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.