UnitedHealth Group

UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of

Senior Vice President, Network Provider Engagement

Location

United States

Posted

65 days ago

Salary

$200.4K - $343.5K / year

Seniority

Senior

No structured requirement data.

Job Description

Senior Vice President, Network Provider Engagement

UnitedHealth Group

Role Description The Senior Vice President, Network Provider Engagement is a leadership role responsible for driving provider engagement, performance, and strategic alignment across Optum Health’s network. This position reports directly to the SVP of Network Management and operates in close partnership with regional CEOs and CFOs. This leader will develop and execute enterprise-wide and market-specific strategies to optimize provider performance, ensuring alignment with both local market objectives and national standards. The role is accountable for advancing commercial and Medicare aligned quality and risk metrics, supporting value-based care initiatives, strengthening provider relationships, and delivering measurable improvements in quality outcomes and financial performance. As a key partner to regional leadership and contracted providers, this role oversees the end-to-end provider relationship lifecycle - ensuring consistent execution of performance strategies and successful achievement of regional and organizational goals. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities - Strategic Leadership - Define and execute strategies that align provider performance with organizational priorities at both national and market levels. - Partner with senior leadership to shape and advance provider performance management focused on quality outcomes and support value-based care and payment strategies. - Drive clarity and alignment around vision, strategy, and execution across stakeholders. - Provider Performance & Value-Based Care - Lead the development and implementation of performance strategies across multiple regions. - Monitor and improve provider performance across quality, cost, and service delivery metrics. - Design and support incentive models that promote success in value-based and risk-based arrangements. - Partner with clinical, operational, financial, and analytics teams to ensure data-driven decision-making. - Provider Engagement & Relationship Management - Build and maintain solid, long-term relationships with physician partners and key stakeholders. - Serve as a trusted advisor to providers, fostering collaboration and alignment with network goals. - Drive improvements in provider experience, including Net Promoter Score (NPS) outcomes. - Ensure effective onboarding and integration of providers into high-performing networks. - Cross-Functional Collaboration - Collaborate with Optum Health Clinical Performance, Healthcare Economics, Operations, Finance, and senior leadership to align on strategy and execution. - Engage with external partners across payer and provider organizations to strengthen network performance. - Navigate and lead within a highly matrixed organization to drive enterprise outcomes. - Leadership & Team Development - Lead, mentor, and develop high-performing teams. - Foster a culture of accountability, engagement, and continuous improvement. - Inspire teams to achieve performance goals while supporting professional growth. Qualifications - 10+ years of healthcare administration experience. - 10+ years of provider performance management experience. - 5+ years of leadership experience in a complex, matrixed organization. - Solid knowledge of Medicare policies, processes, and reimbursement models. - Deep expertise in value-based care, population health, and performance metrics across Commercial and Medicare lines of business. - Demonstrated strategic thinking, planning, and execution capabilities. - Proven ability to influence and drive decisions across large, matrixed organizations. - Proven exceptional communication, negotiation, and relationship-building skills, including executive-level engagement. - Proven solid analytical skills with the ability to translate complex data into actionable insights. - Proven track record of driving business performance in dynamic, high-growth environments. - Driver’s License and access to reliable transportation. Preferred Qualifications - Experience with capitation and risk-based performance models. - Managed care experience. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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Vice President65 days ago

Role Description The Senior Vice President, Hospital and Health System Contracting, serves as the leader responsible for the full scope of hospital and institutional provider strategy, negotiations, and relationship management across the state of California. This role reports directly to the Senior Vice President of Network for Optum Health Networks and maintains dual accountability to the CEO of California. This leader is a key architect of Optum Health California’s hospital contracting strategy across Medicare Advantage, Commercial, and Medicaid lines of business. The position requires exceptional strategic, operational, and relationship-building capabilities, with deep experience in complex payer–provider negotiations and value-based care models. The Senior Vice President works cross-functionally to ensure alignment with clinical, operational, financial, and administrative teams, while maintaining strong partnerships with hospital systems across the region. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities - Strategic Leadership - Develop and execute the institutional and hospital partnership strategy for Optum Health California, ensuring alignment with organizational goals related to growth, affordability, and quality. - Serve as a strategic advisor to regional leadership teams, collaborating to achieve market-level objectives. - Contracting & Negotiation - Lead end-to-end negotiations and ongoing management of hospital and health system contracts across all lines of business (Medicare Advantage, Commercial, Medicaid). - Ensure contracts promote value-based care, align incentives, and support cost management and affordability initiatives. - Exercise independent judgment and decision-making on complex contracting and business issues. - Team & Organizational Leadership - Build, coach, and lead a high-performing team responsible for hospital and institutional contracting. - Develop capabilities within the team to meet evolving market demands and organizational priorities. - Inspire teams to deliver high engagement, operational excellence, and strong performance. - Cross-Functional Collaboration - Partner closely with leaders across Utilization Management, Clinical Leadership, Group and IPA Operations, Claims, Finance, and other Optum Health functions. - Ensure operational readiness and alignment in the execution of hospital contracts and related initiatives. - Market Engagement & Relationship Management - Represent Optum Health California with hospital executives and institutional partners. - Build and maintain high-trust, executive-level relationships that support strategic objectives and long-term collaboration. - Performance Monitoring - Establish metrics and reporting processes to monitor hospital partner performance and contract outcomes. - Lead interventions to improve quality, patient experience, affordability, and performance where necessary. - Oversee unit cost controls and broader medical cost management strategies. Qualifications - 10+ years of progressive experience in hospital or institutional contracting within a health plan. - 5+ years of experience in capitation and risk-based contracting with facilities and health systems. - Deep understanding of risk-bearing entities, utilization management, and value-based care models. - Proven track record negotiating complex provider contracts across Medicare Advantage, Commercial, and Medicaid lines of business. - Proven ability to travel routinely to provider sites and internal teams across Southern California. - Proven ability to work effectively in Pacific Time Zone hours. Preferred Qualifications - Experience in medical group or IPA settings. - Established relationships with hospital systems in Southern California. - Proven solid financial acumen and strategic thinking abilities. - Proven exceptional negotiation, communication, and interpersonal skills. - Proven ability to navigate and influence within a complex matrixed organization. - Proven collaborative, solutions-driven approach with a focus on execution and outcomes. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

United States
$200.4K - $343.5K / year
GlaxoSmithKline - GSK logo

Field Vice President (FVP), Patient Experience, Access & Reimbursement

GlaxoSmithKline - GSK

GlaxoSmithKline - GSK is one of the world's leading science and research-based pharmaceutical and healthcare companies. The company possesses a share of approxi

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The obtaining of prior written authorization is a condition precedent to any agreement (verbal or written) between the employment business/ agency and GSK. In the absence of such written authorization being obtained any actions undertaken by the employment business/agency shall be deemed to have been performed without the consent or contractual agreement of GSK. GSK shall therefore not be liable for any fees arising from such actions or any fees arising from any referrals by employment businesses/agencies in respect of the vacancies posted on this site. Please note that if you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, GSK may be required to capture and report expenses GSK incurs, on your behalf, in the event you are afforded an interview for employment. This capture of applicable transfers of value is necessary to ensure GSK’s compliance to all federal and state US Transparency requirements. 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United States
GlaxoSmithKline - GSK logo

Field Vice President (FVP), Patient Experience, Access & Reimbursement

GlaxoSmithKline - GSK

GlaxoSmithKline - GSK is one of the world's leading science and research-based pharmaceutical and healthcare companies. The company possesses a share of approxi

Vice President65 days ago

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If you require an accommodation or other assistance to apply for a job at GSK, please contact the appropriate Recruitment Staff by emailing us at - usrecruitment.adjustments@gsk.com GSK is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law. Important notice to Employment businesses/ Agencies GSK does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact GSK's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior written authorization is a condition precedent to any agreement (verbal or written) between the employment business/ agency and GSK. In the absence of such written authorization being obtained any actions undertaken by the employment business/agency shall be deemed to have been performed without the consent or contractual agreement of GSK. GSK shall therefore not be liable for any fees arising from such actions or any fees arising from any referrals by employment businesses/agencies in respect of the vacancies posted on this site. Please note that if you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, GSK may be required to capture and report expenses GSK incurs, on your behalf, in the event you are afforded an interview for employment. This capture of applicable transfers of value is necessary to ensure GSK’s compliance to all federal and state US Transparency requirements. For more information, please visit the Centers for Medicare and Medicaid Services (CMS) website at https://openpaymentsdata.cms.gov/

United States
Job Closed
Full TimeRemoteTeam 10,001+H1B Sponsor

Work Schedule Standard (Mon-Fri) Environmental Conditions Office Job Description At Thermo Fisher Scientific, you’ll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life - enabling our customers to make the world healthier, cleaner and safer. We provide our teams with the resources needed to achieve individual career goals while taking science a step beyond through research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel frameworks for clinical research through our PPD clinical research portfolio, our work spans laboratory, digital and decentralized clinical trial services. Your determination to deliver quality and accuracy will improve health outcomes that people and communities depend on – now and in the future. Our goal-driven teams combine and deliver centralized support and solutions for the clinical trials, collaborating to improve processes, cycle and flexibility. We partner with our sites, businesses, and colleagues around the world to decrease startup timelines and exceed expectations. This role is part of the Functional Service Partnerships (FSP) Site Payments team, which is dedicated to processing of Investigator Payments. As Principal Site Payment Associate, you will be dealing with one of the most complicated periods of the life-cycle of a clinical trial, which is essential part of our business operations and is a vital function within the Integrated Clinical Solutions group. By joining our diverse and dynamic team of professionals, you will have the opportunity to support key projects and gain insight on how the payment processes are performed within the clinical trial business. Discover Impactful Work: Serves as the Lead Associate for administrative, reporting, contractual and financial support to the department related to the processing of payments to FSP investigative sites. Responsibilities include reviewing and approving site payments, budgets and reconciliations, reporting, issue/risk resolution, ensuring adherence to contractual guidelines and country regulations, and providing training and guidance to junior team members. A day in the Life: Reviews and approves payments, budgets, reconciliations, etc., in accordance with procedural documents and site contracts. - Compiles data from multiple sources to review and approve payments to sites. - Reviews and approves budgets and Subject Visit Templates (SVTs), and study reconciliations. - May process investigator payments, manage refunds, credit notes, late payment fees, pre-payments or investigator reimbursements. - Ensures adherence to country-specific regulations which affect and impact ability to pay. Manages payment responsibilities and workflow to meet contracted timelines and project deliverables. - May manage escalations (project team, site and sponsor) regarding payment issues. Raises project risks appropriately. - Trains study teams on site payment processes, including setting expectations around site payments' requirements and deliverables. - Trains/mentors junior team members. Keys to Success: Education - Master's degree preferably in Finance area. Experience - Previous experience in international corporate environment preferably with site payments processing is considered advantage. Knowledge, Skills, Abilities - Effective written & verbal communication skills, which include excellent English language. - Excellent organizational, attention to detail and self-management skills. - Proven ability to handle multiple timeline sensitive tasks efficiently and effectively. Flexible and able to reprioritize workload to meet changing business needs. - Able to proactively identify, address and prevent project related issues. - Capable of working independently and as a team member, with minimal or no supervision, promoting strong team approach and serving as a role model to others. Demonstrated ability to mentor and coach others. - Highly skilled at extracting and effectively analyzing pertinent information from study documentation such as protocol, contracts, budgets, etc. and reviewing data entry as per said documents. - Excellent technical skills and ability to quickly learn new software; advanced MS Excel; preferred experience with Clinical Trial Management System (CTMS), and/or Site Payment platform, EDC and financial systems. - Good understanding of ICH Good Clinical Practices, Country Regulatory and/or applicable tax regulations, etc. for all nonclinical/clinical aspects of project implementation, execution, and closeout. Why Join Us? We hire the best, develop ourselves and each other, and recognize the power of being one team. We understand that you will want to grow both professionally and personally throughout your career, and therefore you will benefit from an award-winning learning and development program, ensuring you reach your potential. What We Offer: As well as being rewarded a competitive salary, we have an extensive benefits package based around the health and well-being of our employees. We have a flexible working culture, where PPD clinical research services truly value a work-life balance. We’ve grown sustainably year on year but continue to offer a collaborative environment, with teams of colleagues eager to share expertise and have fun together. We are a global organization but with a local feel. Our Mission is to enable our customers to make the world healthier, cleaner and safer. Watch as our colleagues explain 5 reasons to work with us. As one team of 100,000+ colleagues, we share a common set of values - Integrity, Intensity, Innovation and Involvement - working together to accelerate research, solve complex scientific challenges, drive technological innovation and support patients in need. #StartYourStory at Thermo Fisher Scientific, where diverse experiences, backgrounds and perspectives are valued.

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