Optum
Vice President Hospital Partnerships & Institutional Strategy
Optum, El Segundo, California, United States, 90245
Vice President, Hospital Partnerships And Institutional Strategy
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Optum Health West is seeking a strategic and relationship-driven Vice President, Hospital Partnerships and Institutional Strategy to lead our efforts in developing and managing strategic partnerships with hospitals and institutional providers. This is a key leadership role responsible for overseeing hospital contracting and strategy across Medicare Advantage, Commercial, and Medicaid lines of business. The position requires deep market knowledge, solid payer-provider negotiation skills, and the ability to collaborate across clinical, operational, and administrative functions. Youll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:
Develop and Lead Institutional Strategy:
Shape and execute the hospital and institutional partnership strategy for Optum Health West, aligned with the organizations growth, affordability, and quality goals
Contracting & Negotiation:
Lead end-to-end negotiation and management of hospital contracts across Medicare Advantage, Commercial, and Medicaid lines of business. Ensure contracts support value-based care delivery and align incentives across stakeholders
Team Leadership:
Build, manage, and mentor a high-performing team responsible for hospital and facility contracting. Develop team capabilities to meet evolving market and organizational needs
Cross-functional Collaboration:
Partner closely with leaders in Utilization Management, Group and IPA Operations, Clinical Leadership, Claims, and Finance to ensure operational alignment and execution of hospital contracts
Market Engagement:
Represent Optum Health West with external hospital and institutional partners. Develop and maintain executive-level relationships that support strategic objectives and long-term collaboration
Performance Monitoring:
Establish performance metrics and reporting mechanisms to monitor hospital partner performance and contract effectiveness. Lead interventions where needed to improve quality, affordability, and patient experience
Youll 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 progressive experience in hospital and institutional contracting within a health plan Proven track record of negotiating complex contracts across Medicare Advantage, Commercial, and Medicaid lines of business Demonstrated success in building and leading teams, including hiring, coaching, and performance management Deep understanding of risk-bearing entities, utilization management, and value-based care models Ability to handle routine travel to provider sites, market offices, and internal stakeholders in Southern CA as needed Able to work Pacific time zone hours Preferred Qualifications:
Worked in a medical group or IPA environment Solid working relationships with hospital systems in Southern California Skills and Attributes:
Strategic thinker with solid financial and business acumen Excellent negotiation, communication, and interpersonal skills Ability to navigate and influence within a complex matrixed organization Collaborative, solutions-oriented mindset with a focus on execution and outcomes 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). The salary for this role will range from $156,400 to $268,000 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 everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. UnitedHealth Group is an Equal Employment Opportunity employer 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.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Optum Health West is seeking a strategic and relationship-driven Vice President, Hospital Partnerships and Institutional Strategy to lead our efforts in developing and managing strategic partnerships with hospitals and institutional providers. This is a key leadership role responsible for overseeing hospital contracting and strategy across Medicare Advantage, Commercial, and Medicaid lines of business. The position requires deep market knowledge, solid payer-provider negotiation skills, and the ability to collaborate across clinical, operational, and administrative functions. Youll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:
Develop and Lead Institutional Strategy:
Shape and execute the hospital and institutional partnership strategy for Optum Health West, aligned with the organizations growth, affordability, and quality goals
Contracting & Negotiation:
Lead end-to-end negotiation and management of hospital contracts across Medicare Advantage, Commercial, and Medicaid lines of business. Ensure contracts support value-based care delivery and align incentives across stakeholders
Team Leadership:
Build, manage, and mentor a high-performing team responsible for hospital and facility contracting. Develop team capabilities to meet evolving market and organizational needs
Cross-functional Collaboration:
Partner closely with leaders in Utilization Management, Group and IPA Operations, Clinical Leadership, Claims, and Finance to ensure operational alignment and execution of hospital contracts
Market Engagement:
Represent Optum Health West with external hospital and institutional partners. Develop and maintain executive-level relationships that support strategic objectives and long-term collaboration
Performance Monitoring:
Establish performance metrics and reporting mechanisms to monitor hospital partner performance and contract effectiveness. Lead interventions where needed to improve quality, affordability, and patient experience
Youll 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 progressive experience in hospital and institutional contracting within a health plan Proven track record of negotiating complex contracts across Medicare Advantage, Commercial, and Medicaid lines of business Demonstrated success in building and leading teams, including hiring, coaching, and performance management Deep understanding of risk-bearing entities, utilization management, and value-based care models Ability to handle routine travel to provider sites, market offices, and internal stakeholders in Southern CA as needed Able to work Pacific time zone hours Preferred Qualifications:
Worked in a medical group or IPA environment Solid working relationships with hospital systems in Southern California Skills and Attributes:
Strategic thinker with solid financial and business acumen Excellent negotiation, communication, and interpersonal skills Ability to navigate and influence within a complex matrixed organization Collaborative, solutions-oriented mindset with a focus on execution and outcomes 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). The salary for this role will range from $156,400 to $268,000 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 everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. UnitedHealth Group is an Equal Employment Opportunity employer 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.