Vice-President, Governmental Programs - Provider Network Contracting - West Region

Company: UnitedHealth Group
Location: Los Angeles
Posted on: March 20, 2023

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 and start doing your life's best work.(sm)



You've been building towards this. We've been building towards you. The health care system needs are evolving at a fast clip and innovators like UnitedHealth Group are playing a lead role. New models of care and new networks of providers are emerging now to better serve patients and communities. Here's where you come in. As a West Region Governmental Vice-President within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through 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 6 leader.



If you are located in Pacific Standard Time zone business hours, you will have the flexibility to work remotely* as you take on some tough challenges


Primary Responsibilities

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• 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)
  
  
  
  
  This challenging, high-profile role will put your skills and experience to the test daily. You'll be charged with leading the efforts to achieve synergy targets through contracting with our network providers. In addition, you will lead the high-performing team that supports the UnitedHealthcare client relationship for network/provider 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
  
  
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  • Undergraduate degree or equivalent experience
    
  • 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 of 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.
    
    
    
    
    Careers with UnitedHealthcare. Work with a Fortune 5 organization that's serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.
    
    
    
    California, Colorado, or Washington Residents Only: The salary range for California, Colorado, or Washington residents is $142,300 to $273,200. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
    
    
    
    *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
    
    
    
    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.
    
    
    
    
    
    Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
    
    
    
    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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Keywords: UnitedHealth Group, Los Angeles , Vice-President, Governmental Programs - Provider Network Contracting - West Region, Executive , Los Angeles, California