RVP Network Contracting - California and Hawaii

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Job Description - RVP Network Contracting
- California and Hawaii (2372692)

RVP Network Contracting
- California and Hawaii - 2372692

At United Healthcare,we’resimplifying the health care experience, creating healthiercommunitiesand removing barriers to quality care. The work you do hereimpactsthe lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive,affordable and optimized. Ready to make a difference? Join us to start
Caring. Connecting. Growing together.

The Regional Vice President of Network Contracting reports to the West States Senior Vice President and is responsible for leading the California and Hawaii markets.

This market leader will represent United Healthcare for all lines of business covering Commercial, Medicare, Medicaid and Exchange products, supporting all provider reimbursement types from fee-for-service to capitated arrangements. This role drives performance against affordability, network stability, and growth objectives while maintaining strong executive-level relationships with key health systems and provider organizations. The RVP serves as the senior market leader accountable for network strategy execution, cross-functional alignment, and team performance across one of UHC’s most complex and high-impact markets.

In addition, this leader will need to help develop, design, and manage unique network configurations 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. The RVP ensures achievement of key performance metrics, including trend, adequacy, and access, ensuring contracting compliance with regulatory requirements, particularly in the heavily regulated California environment.

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’ needs

Hire, develop, and retain a high performing contracting team working across company departments to ensure MBOs are met

Lead the local team while also responsible for ensuring all medical contracts are in compliance with United Healthcare’s contract templates and standards, meeting state and federal regulatory requirements

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 California and Hawaii markets 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, setting expectations for strategy development, performance accountability, talent development and succession planning

You’llbe 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…