[Remote] VP of Network Contracting - Remote in Dallas, TX preferred

Note: The job is a remote job and is open to candidates in USA. UnitedHealthcare is simplifying the health care experience and creating healthier communities. The VP of Network Contracting will lead the development and support of provider networks while managing unit cost activities through financial modeling and analysis. Responsibilities • 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) • Develops the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners • Evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls • Establishes and maintains solid business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensures the network composition includes an appropriate distribution of provider specialties • Provides leadership to and is accountable for the performance and results through multiple layers of management and senior level professional staff • Impact of work is most often at the regional (e.g. multi-state) level, or is responsible for a major portion of a business segment, functional area or line of business Skills • 10+ years of progressive management experience in a health plan related role and/or network management-related role handling complex relationships and challenges with accountability for business results • 5+ years of experience in financial management including developing 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 health system, ACO, Hospital, Physician Group contracting or other related negotiation experience • 5+ years of experience in managing people or direct reports • Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), Diagnosis Related Groups, Ambulatory Surgery Center Groupers, etc • Driver's License and access to reliable transportation • Ability to travel up to 25% • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Benefits • A comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Company Overview • UnitedHealthcare helps people live healthier lives by simplifying the health care experience. It was founded in 1977, and is headquartered in Minnetonka, Minnesota, USA, with a workforce of 10001+ employees. Its website is http://www.uhc.com. Company H1B Sponsorship • UnitedHealthcare has a track record of offering H1B sponsorships, with 48 in 2025, 26 in 2024, 45 in 2023, 61 in 2022, 60 in 2021, 68 in 2020. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job Apply To this Job