Vice President, Medicare Network Strategy - Full-time / Part-time

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)

The Vice President, Medicare & Retirement Network Strategy & Implementation supports the National VP for M&R Network Strategy and is responsible for managing the development of the Medicare & Retirement Network Strategy nationally, for both Individual and Group Retiree, and the plan for leverageable implementation across all of UHN. Pricing, network access and competitive position strategies all are evaluated and integrated into the strategic plan. This position drives the strategic plan at the level that impacts both the UHN and Medicare & Retirement segment level. This position will lead a team of direct and indirect reports.

Primary Responsibilities:

• Develop, translate and execute strategies or functional/operational objectives for a region, line of business, or major portion of a business segment functional area


• Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency


• Direct others to resolve highly complex or unusual business problems that affect major functions or disciplines


• Drive programs that impact markets of customers and consumers

Required Qualifications: 

• Undergraduate degree or equivalent combination of education and relevant experience


• 10+ years of experience in a network management-related role handling complex network providers with accountability for business results


• 10+ years of experience in the health plan space


• 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


• Knowledge of Medicare reimbursement methodologies such as Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.


• 5+ years of experience with provider contracting


• Proven leadership experience


• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others, including but not limited to reimbursement policy standards


• Strong interpersonal skills, establishing rapport and working well with others

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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: 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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