UnitedHealthcare · 5 months ago
VP Provider Network Contracting - Remote in GA, commutable to Atlanta
United States
Full-time
Remote
Director/Executive
$132K/yr - $227K/yr
6+ years expUnitedHealthcare is focused on simplifying the health care experience and creating healthier communities. The VP Provider Network Contracting will lead the development and support of provider networks, manage unit cost budgets, and negotiate contracts to ensure affordability and quality in the Georgia market.
FitnessHealth CareWellness
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
Qualification
Required
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
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
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
UnitedHealthcare
UnitedHealthcare helps people live healthier lives by simplifying the health care experience.
10001+ employees
H1B Sponsorship
UnitedHealthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (48)
2024 (26)
2023 (45)
2022 (61)
2021 (60)
2020 (68)
Funding
Current Stage
Late StageLeadership Team
Beth Soberg
CEO West Region, Local Markets
Bobby Gregoire
Medicare Health Plan CEO, Iowa & South Dakota
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