Vice-President, Provider Network Contracting - Denver, CO - 2274779

Company: UnitedHealth Group
Location: Denver
Posted on: April 4, 2025

Job Description:

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.The Vice President of Network Contracting reports to the West Regional President and is responsible for leading the Colorado and Wyoming markets.This market leader will represent UHG for all lines of business covering commercial, Medicare, Medicaid and Exchange products. This leader will need to help develop, design and manage unique narrow networks within each of these business lines to ensure growth and performance of each network meeting UHG needs. Additionally, market leaders build, attract, develop a best in class performing network contracting team while working with all other UnitedHealthcare teams as well as Optum. The leader must be able to support all provider reimbursement types from Fee for Service to Capitation.Primary Responsibilities:

• Develop, design, and manage the medical network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) to yield a geographically competitive network that achieves objectives for unit cost performance and trend management and produces an affordable, predictable product for customers and business partners.
• Oversee all lines of business to meet the unique expectation of each business line's member.
• Hire, develop, and retain a high performing contracting team working cross-company departments to ensure MOB are met.
• Establish reimbursement structure standards and other key process controls.
• Ensure the network composition includes an appropriate distribution of provider specialties for each line of business and includes multiple narrow network products.
• Lead and develop market strategies and visions across multiple lines of business.
• Develop, translate, and execute business strategies and objectives for respective markets in the West region for all lines of business.
• Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency.
• Lead a large multi-state team; direct others to resolve highly complex or unusual business problems.You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:
  • 10+ years of experience in a network management-related role handling complex network providers.
  • 10+ years of contracting experience in Network/Provider Management.
  • 8+ years of healthcare experience.
  • 8+ years of experience in product pricing, financial modeling, and managing a budget.
  • 5+ years of supervisory experience.
  • Driver's License and access to reliable transportation.Preferred Qualifications:
    • Ability to communicate a vision and drive results.
    • Ability to successfully function in a matrix organization.
    • Ability to successfully leverage relationships both internal and external.
    • Proven solid independent decision-making skills to drive sound, quality decisions in a timely manner.
    • Proven solid ability to operate and influence across the enterprise to drive critical decisions and execution.
    • Demonstrated broad-scope financial expertise.The salary range for this role is $150,200 to $288,500 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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Keywords: UnitedHealth Group, Denver , Vice-President, Provider Network Contracting - Denver, CO - 2274779, Executive , Denver, Colorado