VP, Provider Network Contracting — Strategic Growth

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

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