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Vice President Provider Network Management Jobs in Indiana

IN · On-site

Position Description Vice President for University Advancement Operational Unit: Central ... Provide oversight for advancement services, including: * Advancement technology and CRM management

... provider network management and development, compliance, reconciliation, quality control, risk ... Work with the Vice President of Operations as needed to identify concerns and understand proposed ...

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Vice President Provider Network Management information

What does a vice president provider network management do?

A Vice President of Provider Network Management oversees the development, maintenance, and optimization of healthcare provider networks within an organization, such as a health insurance company or managed care organization. They are responsible for negotiating contracts, ensuring compliance with regulations, managing relationships with healthcare providers, and strategizing network growth and efficiency. This role also involves analyzing network performance, addressing gaps in care, and working cross-functionally to meet organizational goals. Ultimately, they ensure that members have access to high-quality, cost-effective healthcare providers.

What are the key skills and qualifications needed to thrive as a vice president provider network management?

To thrive as a Vice President Provider Network Management, you need expertise in healthcare network development, contract negotiation, and an advanced degree in business, healthcare administration, or a related field. Experience with provider contracting systems, healthcare analytics platforms, and regulatory compliance tools is typically required. Leadership, strategic thinking, and strong relationship-building skills are crucial for effectively managing teams and fostering partnerships. These competencies enable the development of robust provider networks that ensure quality care, cost efficiency, and organizational growth.

How does a vice president provider network management typically collaborate with other departments to achieve organizational goals?

As a Vice President of Provider Network Management, you will frequently collaborate with departments such as contracting, analytics, finance, compliance, and clinical operations. This role involves cross-functional teamwork to design provider networks, negotiate contracts, ensure regulatory compliance, and optimize network performance. Successful collaboration ensures that the organization's provider networks meet quality, cost, and accessibility goals, while supporting broader business strategies. Regular communication and alignment with leadership across departments are essential to address challenges and drive continuous improvement.

What is the difference between Vice President Provider Network Management vs Director of Provider Relations?

AspectVice President Provider Network ManagementDirector of Provider Relations
ResponsibilitiesOversees the entire provider network strategy, negotiations, and network growthManages provider relationships, contract negotiations, and day-to-day provider communications
CredentialsTypically requires advanced degrees and extensive industry experienceRequires relevant healthcare or business experience, often with similar certifications
Work EnvironmentExecutive leadership, strategic planning, cross-department collaborationOperational focus, provider engagement, contract management
Industry UsageCommonly used in large healthcare organizations and insurance companiesUsed across healthcare providers, managed care organizations, and insurers

The Vice President Provider Network Management holds a higher strategic and leadership role, focusing on network expansion and policy, while the Director of Provider Relations concentrates on managing provider relationships and contract negotiations. Both roles require healthcare industry knowledge but differ in scope and seniority.

What are popular job titles related to Vice President Provider Network Management jobs in Indiana?

For Vice President Provider Network Management jobs in Indiana, the most frequently searched job titles are:

What cities in Indiana are hiring for Vice President Provider Network Management jobs?

Cities in Indiana with the most Vice President Provider Network Management job openings:

Vice President, Provider Network Contracting

UnitedHealthcare

Indianapolis, IN • On-site

$159 - $273/hr

Other

Retirement

Posted 27 days ago


Key responsibilities

  • Guide development of geographically competitive, broad access, stable provider networks that achieve objectives for unit cost performance and trend management

  • Develop and execute strategies for network or discipline functions that span multiple markets or sites, including applying network configuration and incentive-based payment models to improve quality and efficiency

  • Lead efforts to achieve synergy targets through contracting with network providers and manage the team supporting provider network management


UnitedHealthcare rating

7.8

Company rating: 7.8 out of 10

Based on 710 frontline employees who took The Breakroom Quiz

110th of 898 rated healthcare providers


Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Vice President, Provider Network Contracting (2372776)

Vice President, Provider Network Contracting - 2372776

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the 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


You've been building towards this. We've been building towards you. The health care system needs are evolving at a fast clip and innovators like UnitedHealth Group are playing a lead role. New models of care and new networks of providers are emerging now to better serve patients and communities. Here's where you come in. As a director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader.


Primary Responsibilities:

  • Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
  • Develop and execute strategies for a function or discipline that span a large business unit or multiple markets/sites
  • Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency
  • Direct others to resolve business problems that affect multiple functions or disciplines
  • Direct work that impacts entire functions and/or customer accounts (internal or external)


This challenging, high-profile role will put your skills and experience to the test daily. You'll be charged with leading the efforts to achieve synergy targets through contracting with our network providers. In addition, you will lead the high-performing team that supports the UnitedHealthcare client relationship for network/provider management.


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:

  • 10+ years of management experience in a network management-related role handling complex network providers with accountability for business results
  • 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 and administrative budget
  • 5+ years of experience with provider contracting
  • Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), Diagnosis Related Groups, Ambulatory Surgery Center Groupers, etc.


Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $159,300 - $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.


At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.


UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.

Job JobProvider Contracting & Network Development

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

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.

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