VP, Provider Network Contracting — Lead Network & Pricing

UnitedHealthcare; Indianapolis (IN); On-site; USD 159,000 - 273,000; Full time

Job summary

UnitedHealthcare is seeking a Vice President for Provider Network Contracting to lead the development and management of extensive provider networks, apply pricing models and cost-management strategies, and drive value across markets.

This senior role directs a high-performing team, partners with clients and internal stakeholders, and requires 10+ years in network management and deep knowledge of Medicare RVUs, DRGs and provider contracting. The position is based in Indianapolis, Indiana.

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

Management experience

Pricing & financial modeling

Budget management

Provider contracting

RBRVS/DRGs knowledge

Job description

UnitedHealthcare is seeking a Vice President for Provider Network Contracting to lead the development and management of extensive provider networks, apply pricing models and cost-management strategies, and drive value across markets.

This senior role directs a high-performing team, partners with clients and internal stakeholders, and requires 10+ years in network management and deep knowledge of Medicare RVUs, DRGs and provider contracting. The position is based in Indianapolis, Indiana.