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Vice President of Payer Engagement, SCA Health - Telecommute

Company: UnitedHealth Group
Location: Philadelphia
Posted on: September 24, 2022

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) As a part of OptumHealth, SCA Health is seeking a Vice President Strategy and Payer Engagement, SCA Health. The Vice President Payer Engagement, SCA Health creates strategies for long term growth by building key payer relationships across all sectors of business, crafting innovative payment models, and providing data-driven insight. Our partnerships with health plans, government sectors and risk bearing medical groups are aimed at significantly lowering the total cost of care and improving patient outcomes and experience. The position will enable SCA to achieve earnings growth by partnering with operations and development leaders, on the surgery center, medical group and specialist teams, to set and execute a strategy that evolves payer contracting into value-based agreements driving improved targeted volume growth initiatives, and strategic acquisitions. Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, SCA Health teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care. As part of Optum, SCA Health participates in an integrated care delivery system that enables them to support its partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge:

  • SCA Health connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business
  • SCA Health has pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care
  • SCA Health leads the industry in value-based payment solutions through its Global 1 bundled payment convener, that provides easy predictable billing to patients
  • SCA Health helps physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines If you are located in CST or EST time zones, preferably within a sixty-mile radius of Chicago, IL, you will have the flexibility to telecommute as you take on some tough challenges. Primary Responsibilities:
    • Develop Differentiated Payer Relationships: Teammate will become viewed by health plans as a partner in problem solving and agent of change in the market
    • Deliver Rate Growth and Acceleration of value-based care: Teammate will achieve growth on the defined regions by leading a team responsible for direct contracting and/or supporting the efforts of our health system partners. Teammate will strategize and operationalize the transition of fee for service contracting into value-based care
    • Enable Organizational Alignment to Grow Revenue: The teammate will have ownership for overall rate growth through an active communication strategy that will include the opportunity for new service line growth, payment innovations and market development as aligned with payer partnerships across the defined regions
    • Enable Strategic Investments: Teammate will partner with Development and Operations to create market strategies, in alignment with payer partnerships, to identify new markets that lead to merger, de novo, and investment opportunities
    • Leader: Teammate will lead a team of potential managers, directors and analysts to ensure that the full scope of responsibilities and growth opportunities are prioritized, actionable and executes and be responsible for the growth and development of their team 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:
      • Bachelor's Degree
      • 10+ years of health plan contracting/healthcare operational/consulting experience
      • 7+ years of experience in a director or higher leadership role
      • Knowledge of macro healthcare trends and how to capture the triple aim in new payment methodologies as well as understanding of value based contracting evolution
      • Experience leading within a matrix reporting structure
      • Availability to travel a minimum of 30% of the time as required by the business
      • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation Preferred Qualifications:
        • Masters Level Degree
        • 5+ years of experience working within a strategy leadership role
        • 5+ years of experience working within an ASC setting
        • Experience working with large scale full risk contracts To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment Careers at OptumCare. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place to do your life's best work.(sm) OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians. All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado/Connecticut/Nevada residents is $174,600 to $332,200. 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. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Keywords: UnitedHealth Group, Philadelphia , Vice President of Payer Engagement, SCA Health - Telecommute, Healthcare , Philadelphia, Pennsylvania

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