VP Provider Network Contracting - Remote in GA, commutable to Atlanta

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.

There's never been a time that was more right for people who want to lead. Health care is changing and evolving at a pace that few could have predicted. Technology, ideas, and bold vision are taking companies like UnitedHealth Group to new levels of performance. This is the time and the opportunity that can bring your impact to a whole new level. As a leader within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through strategy development and execution, contract negotiation, financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader.

If you are located in the State of GA or commutable to Atlanta, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Manage unit cost budgets, target setting, performance reporting and associated financial models
• Develop and implement network strategies for the Georgia market across all lines of business
• Negotiate contracts with health systems and provider groups with a focus on unit cost competitiveness and affordability to support total cost of care and line of business objectives
• Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency
• Manage the implementation of new concepts, technologies, and products to meet emerging customer requirements
• Direct cross-functional and/or industry-wide teams with segment-wide and/or enterprise-wide impact
• Influence on senior management decisions that impact business direction
• Must live in Georgia within a commutable distance of the Atlanta Office

Your leadership skills and drive to accomplish things will be key to your success in this role. The end goal is to produce an affordable and predictable product for customers and business partners within the Georgia market, so you will need to be able to lead us forward and help us develop provider networks with hospitals, physician and ancillary providers yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management.

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:

• 6+ years of experience with provider contracting and utilizing financial modeling in making rate decisions
• 3+ years of experience focused on facility reimbursement and contract negotiations
• 2+ years of experience in a leadership role within the health care industry
• Experience in managing direct reports in a leadership role
• In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, and other provider payment methodologies
• Extensive knowledge of, and work experience with, the Georgia facility, physician, and ancillary provider communities
• Willing to reside within state of Georgia, and commutable to Atlanta, GA

Preferred Qualifications:

• 6+ years of experience in a network management-related role handling complex network providers with accountability for business results
• Knowledge of new product development and pricing
• Knowledge of value-based care arrangements
• Proven ability to develop and implement programs and projects in a strategic and professional manner
• Proven solid ability to communicate effectively and efficiently (both verbal and written) within UHC and externally

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $132,200 to $226,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.