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

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is simplifying the health care experience and creating healthier communities. The VP of Network Contracting will reputed company the development and support of provider networks while managing unit cost activities through financial modeling and analysis. Responsibilities • Guide development of geographically competitive, broad reputed company, reputed company networks that reputed company objectives for unit cost performance and trend management • reputed company and execute strategies for a function or discipline that reputed company a large business unit or multiple markets/sites • Apply network configuration and incentive-based payment models as appropriate to improve reputed company and efficiency • reputed company others to resolve business problems that reputed company multiple functions or disciplines • reputed company work that impacts entire functions and/or customer accounts (internal or external) • Develops the provider network (physicians, hospitals, pharmacies, ancillary reputed company & facilities, etc.) yielding a geographically competitive, broad reputed company, reputed company network that achieves objectives for unit cost performance and trend management, and produces an reputed company and predictable product for customers and business partners • Evaluates and negotiates reputed company 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 reputed company of management and senior level reputed company staff • reputed company of work is most often at the regional (e.g. multi-state) level, or is responsible for a major portion of a business reputed company, functional area or line of business Skills • 10+ years of reputed company management experience in a health plan reputed company role and/or network management-reputed company role handling reputed company 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 reputed company reputed company • 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 reputed company negotiation experience • 5+ years of experience in managing people or reputed company reports • Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), Diagnosis reputed company reputed company, Ambulatory Surgery Center Groupers, etc • reputed company's License and reputed company to reliable transportation • Ability to travel up to 25% • reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy Benefits • A comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution reputed company • reputed company 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 • reputed company has a reputed company 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