Job Description

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

The Vice President of Network Contracting reports to the Northeast Regional President and is responsible for leading the downstate New York market.

This market leader will represent UnitedHealthcare 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 UHC needs. Additionally, market leaders build, attract, and develop a best in class performing network contracting team while working with all other UHC 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. As market leader, you will 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 across company departments to ensure MOB are met
* Lead the local team while also responsible for ensuring all medical contracts in NY are in compliance with UnitedHealthcare's contract templates and standards
* 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 Northeast 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:

* Bachelor's degree or equivalent experience
* 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
* Proven 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
* Solid independent decision-making skills to drive sound, quality decisions in a timely manner
* Solid ability to operate and influence across the enterprise to drive critical decisions and execution
* Demonstrated broad-scope financial expertise
* You will be asked to perform this role in an office setting or other company location.
* Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 7 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

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.

Job Keywords: New York, NY, Hartford, CT, Iselin, NJ, Philadelphia, PA, 909703