Vice President, Capitation Network - US Telecommute

UnitedHealth Group
Washington, DC
Oct 19, 2021
Oct 23, 2021
Full Time
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, Capitation Network will provide strategic oversight, ideation and consultation for Employer & Individual (E&I) capitation strategies across all E&I segments. This role is critical to strategy development & planning, contract language development, fostering provider partnerships, driving overall performance, managing operations through a matrix team, and leading strategic initiatives that will focus on growth through continuous cost improvement. Working closely with the E&I regional and health plan leadership teams and colleagues across UnitedHealth Networks, the Vice President will become familiar with the established vision, mission, and strategies of the organization and will build on these to effectively define, articulate, and address the current and future needs and priorities of the local market. The scope of this role will expand in time as the capitation agenda of UHN E&I continues to grow with the maturity of the Enterprise's Capitation agenda. We are seeking a highly motivated, self-starter in a highly visible position that can make an immediate impact with national and local partners and cross-functional teams across UnitedHealthcare and Optum. You'll enjoy the flexibility to telecommute* from anywhere within the US as you take on some tough challenges. Primary responsibilities: Identify opportunities across E&I to create and influence existing capitation programs tactically, operationally and strategically with a near term, intermediate term and long-term perspective Provide oversight and direction to align the E&I line of business's strategy with supporting capitation strategies and roadmaps, and with high-level strategies from other parts of the organization Partner with UHN, UCS, Product, HCE and E&I executive leadership and lead strategies across E&I, ensuring program consistency and maximizing value for the E&I business strategy Drive capitation initiatives across E&I segments (eg, National Account, UMR, Key Accounts) working through and directly with Senior E&I Leadership Collaborate with E&I affordability, network, and HCE teams to influence regional strategies, including prioritization of capabilities, ongoing effectiveness of targeted initiatives Conduct deep dive program reviews with relevant internal stakeholders to identify opportunities for continuous improvement and innovation Ensure performance is tracked accurately utilizing internal reporting in order to facilitate performance review and analysis against Management by Objectives (MBOs) Direct cross-functional and/or cross-segment teams and foster relationships with matrix partners/stakeholders, ensuring commitment and support for health plan operations and programs Influence senior leadership to adopt new ideas, initiatives, and/or approaches, as well as translate highly complex concepts in ways that can be understood by a variety of audiences Inspirational and adaptive leadership style that promotes innovation and collaboration and fosters commitment to a vision Get ready for some significant challenge. In this position, you'll work closely with value-based contracting, analytics and senior leadership in negotiations as you develop and maintain relationships with hospital and physician groups. 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 experience in health care, including driving and executing in a health plan, provider system, or healthcare organization 5+ years of business and strategy leadership experience Contracting and reimbursement methodologies, including understanding of Value Based programs, risk-based contracting, and/or capitated risk delegation Solid business acumen, with experience in business case development, complex contractual relationships and cost-benefit analyses Ability to build relationships with external and internal executives and stakeholders, as well as lead and manage multiple matrix workforce teams Solid presentation, written, and verbal communication skills, including well-developed interpersonal skills used to influence the behavior of others across a highly matrixed organization and high-level external physician and business leaders Advanced level of knowledge of data/claims systems processes, product, contracting and/or capitation reimbursement methodologies Intermediate level of proficiency in MS PowerPoint, Word, and Excel; strong skills with analytic tools is a strong advantage Preferred Qualifications: Master's Degree (eg, MBA, MPH, MHA) 5+ years of demonstrated success leading teams and delivering value driving consumer experiences Experience in a health system and/or provider office that can bring the voice of the provider to program development Broad knowledge of UnitedHealth Group operational systems and/or processes (provider contracts, claims, provider directory, etc.) Expertise in a well-established business operations and / or cost improvement methodology (eg, Business Process Management, Six Sigma, or Total Cost Management) UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status. Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 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) Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado/Connecticut/Nevada residents is $130,300 to $250,200. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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: capitation, strategy, capitation network, managed care, payer, health insurance, health plan, telecommute, work from home, capitation strategy, risk, risk assessment, UHC, unitedhealthcare