Senior Network Pricing Consultant - Remote

Join UnitedHealthcare

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The entire health care system is becoming more efficient and effective thanks to companies like UnitedHealth Group and people like you. Here's your opportunity to use your expertise in new ways as you strike the balance between health care costs and resources. Performing unit cost and contract valuation analysis, you'll ensure that healthcare contracts are priced accurately and fairly for all involved. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader.

If you reside in the Central CST, Mountain MST, Pacific PST time zones, you will have the flexibility to work remotely as you take on some tough challenges.

Primary Responsibilities

• Predict emerging customer needs and develop innovative solutions to meet them
• Participate in the development of business strategy
• Influence senior leadership to adopt new ideas, products and/or approaches
• Direct cross-functional and/or cross-segment teams
• Conduct financial and network pricing modeling, analysis and reporting
• Review work performed by others and recommend improvements

This opportunity is all about complexity. You're expected to help accurately and effectively price the network. It's challenging because you need to be creative in the analytics behind the contract in order to utilize resources to build the data and price the network accurately.

Supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Manages unit cost budgets, target setting, performance reporting, and associated financial models.

• Reviews the work of others
• Develops innovative approaches
• Sought out as expert
• Serves as a leader/mentor

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

• 8+ years of analytical experience in financial analysis, health care pricing, network management, healthcare economics or related discipline
• 5+ years of experience with provider payment methodologies and health care products
• 5+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
• Experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
• Expertise in financial impact analysis, risk management and data manipulation
• Expert level proficiency in MS Excel

Preferred Qualifications

• Experience with medical coding (CPT, ICD-9, ICD-10, etc.)
• Knowledge of MS Access

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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). 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 $91,700 - $163,700 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.

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.