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Vice President of Clinical Strategy and Performance – Remote in US

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Job title: Vice President of Clinical Strategy and Performance – Remote in US

Company: CPS Solutions

Job description: 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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.The Vice President of Clinical Strategy and Performance leads the clinical strategies for the Individual and Family Plans (IFP) business, focusing on affordability, regulatory adherence, compliance, and value-based care.This role is accountable for driving clinical strategy with a focus on expanding and optimizing value-based care arrangements with providers including clinical model design and clinical performance evaluation for capitated/delegated and accountable care organization arrangements.The role includes developing and executing the IFP affordability strategy with a focus on IFP-specific affordability initiatives that drive value for members and result in more affordable care. This individual will leverage data on utilization and cost trends and new state, federal, and competitor policies to inform the design of targeted national and market-specific affordability initiatives including the development of new clinical programs, remediation of specific markets, network actions, and program integrity initiatives. This individual will act as a key clinical business partner on network development and sculpting, risk adjustment activities, provider incentive programs, and program integrity initiatives.The VP of Clinical Strategy and Performance must be able to draw upon a matrixed team to drive complex business processes throughout and across the organization and will be accountable to clinical performance and affordability targets. This role will report to the Chief Medical Officer & VP Individual & Specialty and will partner closely with the United Clinical Services Value Creation team, Enterprise Clinical Services, and United Health Network as well as the IFP Clinical Operations, Clinical Quality, Strategy, Product and Operations teams. This position has a significant role in distinguishing our IFP business in the marketplace by driving clinical strategy for value-based arrangements and supporting high quality and affordable care while ensuring compliance with state and federal regulations, laws and mandates.Results are critical to this leader’s success, as is a personal alignment with UHC’s mission to help people live healthier lives and the core belief that an organization can manage cost and deliver quality and value to its customers. IFP is a rapidly growing business that serves over 1.4 million members across 30 states.You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.Primary Responsibilities:Clinical Strategy:

Clinical oversight of IFP’s VBC arrangements:IFP VBC Strategy

Capitated/Delegated Arrangements

Affordability:

Monitor performance of each market and develop targeted affordability initiatives using rapid cycle improvement methodology to achieve optimal resultsRegulatory Adherence and Compliance

Culture and Strategy

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:

Preferred Qualifications:

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter PolicyPay 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 $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.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.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.

Expected salary:

Location: Minnetonka, MN

Job date: Mon, 10 Nov 2025 06:01:00 GMT

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