VP, Payer Contracting - New England (Remote)

Mass Digital Health; Auburndale (MA); Remote; USD 159,000 - 273,000; Full time

Benefits offered by this job

Remote work flexibility

Equity stock purchase program

401k contribution

Job summary

UnitedHealth Group, via Optum Care, seeks a VP Payer Contracting to guide strategic payer contracts across New England. Lead teams, shape value-based reimbursement, and partner with key networks to support outstanding patient care and enterprise results.

Location flexibility for Massachusetts-based professionals; remote work options available, with strong reporting and governance capabilities to drive performance and scale across markets.

Qualifications

• 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 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.

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.

Skills

Payer contracting leadership

Budget management

Value-based contracts

Team leadership

Healthcare reimbursement knowledge

Job description

UnitedHealth Group, via Optum Care, seeks a VP Payer Contracting to guide strategic payer contracts across New England. Lead teams, shape value-based reimbursement, and partner with key networks to support outstanding patient care and enterprise results.

Location flexibility for Massachusetts-based professionals; remote work options available, with strong reporting and governance capabilities to drive performance and scale across markets.