Optum

Vice President Payor Contracting - Remote in Washington or Oregon

Kirkland, WA, US$159,300-$273,200Posted 2 months ago

Job Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

The Vice President Contracting is responsible for developing the strategy for the product, payor, and revenue growth plans for the Washington market. The position will drive the negotiation process with accountability for the entire process of achieving reimbursement terms that meet Optum objective. They will evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. In addition, this leader will establish and maintain solid business relationships with Health Plans, Payor, and major market insurance brokers and purchasers.

This individual may have direct and indirect reports in multiple locations, serves as a member of the senior management team and has overall accountability for providing leadership, strategic direction and support to all aspects of payor operations and revenue cycle team, to include establishing and maintaining effective professional relationships with internal and external stakeholders. They will formulate and administer policies and procedures, participate in strategic planning and business development activities and assist in the professional development of the contracted operations management team.

If you are located in WA, OR or NV, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities

  • Recommends, develops and executes strategic long-range planning as it relates to contracted payors and product participation in support of the market and enterprise strategic mission, philosophy and goals
  • Evaluates and makes recommendations for business development and expansion opportunities within assigned territories
  • Oversees the implementation of all

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