1+ months

VP, Healthcare Economics Network Pricing - West Region - 896404

Cypress, CA 90630
  • Job Code
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 Pricing is a leadership position for the West Region.The position leads all the Network Pricing responsibilities for all lines of business (Commercial, Medicare, Medicaid) in the West Region including the following:

  • Lead and manage a team that supports Provider Network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting
  • Lead and manage a team that conduct unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies; responsibilities also include managing unit cost budgets, target setting, performance reporting, and associated financial models
  • Provides and coordinates provider network configuration in support of new product development
  • Leads regional financial support and reporting for all capitation, full risk, risk-sharing, accountable care and value based contracting efforts in the West Region
  • Leads team responsible for maintaining national reporting database of value based contracting and reporting national results
  • Key leader in financial evaluation and development of strategy to achieve competitive provider economics in all West Region markets
  • Coordinates with all West Region Senior leadership, other key Healthcare Economics leadership in development and execution of key initiatives
  • For NICE business, this group plays a significant role in the creation, maintenance and communication of NICE unit cost to Actuary/UDW (this is the provider cost file that is essentially the total cost of care unit cost view)
Additional Responsibilities:
  • Lead, develop, translate and execute strategies or functional/operational objectives for a region, line of business, or major portion of a business segment functional area
  • Lead and 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 per requirements
  • Work collaboratively with other areas of the organization with the goal of advancing the competitive position and results for West Region
  • Interact with all levels of the organization
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:
  • Undergraduate degree
  • 10+ years of analytical experience in financial analysis, healthcare pricing, network management, healthcare economics, or related discipline
  • 8+ years of experience with provider payment methodologies and healthcare products
  • Advanced level of proficiency in performing financial impact analysis, risk management, and data manipulation
  • 8+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools including experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
  • 5+ years of supervisory experience
  • Strong written and verbal communication skills
  • Advanced level proficiency in MS Excel
  • 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.
  • You will be asked to perform this role in an office setting or other company location.
Preferred Qualifications:
  • Post-graduate degree
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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:Cypress, CA; San Francisco, CA; Phoenix, AZ; Las Vegas, NV; Denver, CO


Posted: 2020-10-28 Expires: 2020-12-25

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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VP, Healthcare Economics Network Pricing - West Region - 896404

UnitedHealth Group
Cypress, CA 90630

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