VP, Provider Network Strategy & Contracting

UnitedHealthcare

Phoenix (AZ)

On-site

USD 159,000 - 273,000

Full time

40 hours ago
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Benefits offered by this job

Comprehensive benefits package
Equity stock purchase
401k contribution

Job summary

UnitedHealthcare is seeking a Director for its network contracting team in Phoenix to guide the development and support of provider networks and unit cost management. You will lead a high-performing team and apply pricing models to drive quality and efficiency across markets.

The role requires deep knowledge of Medicare pricing systems, strong leadership, and a track record of delivering strategic network initiatives within a Fortune 6 organization.

Qualifications

  • 10+ years of management experience in a network management-related role handling complex network providers.
  • 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 of knowledge of Medicare Resource Based Relative Value System (RBRVS), Diagnosis Related Groups, Ambulatory Surgery Center Groupers, etc.
  • Driver's License and access to a reliable transportation

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)
  • Lead contracting with network providers and manage the UnitedHealthcare client relationship for network/provider management

Skills

Management experience
Financial modeling
Provider contracting
Strategic planning

Job description

UnitedHealthcare is seeking a Director for its network contracting team in Phoenix to guide the development and support of provider networks and unit cost management. You will lead a high-performing team and apply pricing models to drive quality and efficiency across markets.

The role requires deep knowledge of Medicare pricing systems, strong leadership, and a track record of delivering strategic network initiatives within a Fortune 6 organization.

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