VP, Payer Contracting & Value-Based Partnerships

UnitedHealth Group; Auburndale (MA); Remote; USD 159,000 - 273,000; Full time

Job summary

UnitedHealth Group, through Optum Care, seeks a VP Payer Contracting to lead strategy and execution for the New England market. This role guides value-based contracts, builds strategic payer partnerships, and oversees performance reporting while collaborating with clinical and operational leaders.

Based in Massachusetts with remote work flexibility, the role demands deep expertise in payer contracting, risk-based models, and multi-market strategy within a Fortune 4 organization.

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 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

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

Job description

UnitedHealth Group, through Optum Care, seeks a VP Payer Contracting to lead strategy and execution for the New England market. This role guides value-based contracts, builds strategic payer partnerships, and oversees performance reporting while collaborating with clinical and operational leaders.

Based in Massachusetts with remote work flexibility, the role demands deep expertise in payer contracting, risk-based models, and multi-market strategy within a Fortune 4 organization.