Vice-President, Provider Network Contracting - Denver, CO
Company: UnitedHealth Group
Location: Denver
Posted on: May 3, 2025
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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 lines 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 a 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). No matter where or when you begin a
career with UnitedHealth Group, you'll find a far-reaching choice
of benefits and incentives.
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.
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.
Keywords: UnitedHealth Group, Broomfield , Vice-President, Provider Network Contracting - Denver, CO, Executive , Denver, Colorado
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