Network Pricing Consultant – Remote

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. 

Can we all can agree that the quality of health care is marching forward and upward with great momentum? Yes. But it’s not just quality of care. The entire 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.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Hands on analysis, interpretation, and recommendations for ad-hoc reporting requests across Central Region markets
• Maintenance and distribution of monthly and quarterly dashboard reports tracking UCRT forecast to target gaps for Central Region markets
• Build, maintain data models, dashboards, performance scorecards, and metrics that support key business decisions
• Optimize existing regional tools and streamline pricing processes
• Serve as a regional subject matter expert on HCE pricing tools
• Provide support for regional and local ad-hoc data requests in support of contracting efforts, RFPs, and legal asks
• Concisely and effectively summarize and communicate the results of complex analytics 
• Develop and support end-to-end provider reimbursement reconciliation, including operations, modeling, and reporting
• Influence analysis and reconciliation efforts using a data driven approach
• Provide consultative support as a subject matter expert to markets in interpreting/summarizing analytical findings
• Conduct financial and network pricing modeling, analysis, and reporting
• Drive projects in your specialty
• Identify and resolve technical, operational, and organizational problems 
• Predict emerging customer needs and develop innovative solutions to meet them
• Review work performed by others and recommend improvements

This role has wide ranging impact and challenge. You’ll be responsible for partnering with Central Region pricing consultants and leaders, as well as matrix partners throughout the organization to provide analytics and consultation in support of optimal, affordable care for our members.

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:

• 3+ years of analytical experience in financial analysis, health care pricing, network management, healthcare economics or related discipline
• 3+ years of experience with provider payment methodologies and health care products
• 3+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools
• 3+ years of experience working in an analytic field with proficiency in SQL, MS Excel, MS Access, Power BI, Snowflake, Oracle, SAS, Teradata or similar tools
• Experience extracting data from enterprise data sources
• 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
• Demonstrated proficiency and strength in written and verbal communication

Preferred Qualifications:

• Experience with medical coding (CPT, ICD-9, ICD-10, etc.)
• Experience leading projects from the ground up with limited direction
• Advanced level proficiency in MS Access, SQL, or SAS

*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 $71,200 to $127,200 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.