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

 

This position supports and validates provider network (physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, 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.

 

This position will primarily support the West Region geography, comprised of the States of Oregon, Washington, Montana, Alaska and Hawaii. This position is likely to be a telecommute arrangement, based on work experience.

 

Challenge can often be its own reward.  But why settle for just being challenged when you can also be developed, supported and mentored to help build an exciting and impactful career?  With UnitedHealth Group you can have all the above, every day. In this role, you will work to ensure that health care provider contracts’ financial impacts are reported, monitored and evaluated accurately. Combined with the resources, backing and opportunities that you’d expect from a Fortune 7 leader, you will discover the impact this work can have on society.

 

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:

• Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers
• Analyze financial impact of provider contracts
• Analyze financial impact of corporate initiatives (e.g., policy changes; healthcare affordability) or external regulations (e.g., healthcare reform)
• Analyze payment appendices to provide options for various contracting approaches and methodologies
• Communicate results of financial impact and analysis to appropriate stakeholder groups (e.g., Network Management, Network Pricing leadership)
• Conduct financial and network pricing modeling, analysis and reporting
• Conduct Peer reviews of analytical models of others
• Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
• Lead large, complex projects to achieve key business objectives
• Influence network provider pricing strategies and rate development by highlighting opportunities for improvement or protecting favorable rate structures
• Strategize rates or contract methodology with Network Management to create optimal contract
• Review competitive rate information to identify appropriate provider pricing

 

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:

• A College Undergraduate degree in either Math, Accounting, Statistics, Finance, Economics or related field of study
• 4+ years of experience with financial analysis, healthcare pricing, network pricing, healthcare economics or related disciplines
• 3+ years of experience with healthcare provider payment methodologies and/or products
• Presentation experience to internal or external stakeholders or customers
• Advanced level of proficiency in MS Excel
• Proven excellent financial impact analysis, risk management, and data manipulation skills
• Proven solid interpersonal, collaboration, negotiation and communication skills
• Proven intermediate ability to interpret and review financial modeling results to evaluate the financial impact of contract changes and develop forecasts
• Proven ability to manage multiple projects simultaneously and meet deliverable deadlines
• Proven ability to research and solve problems independently

 

Preferred Qualifications:

• Postgraduate degree in Math, Accounting, Statistics, Finance, Economics or Actuarial Science
• Experience in MS Access, SAS, SQL or more advanced coding  
• Experience with advanced statistical functions for financial modeling
• Experience and understanding of medical reimbursement coding (CPT, MSDRG, REV, ICD-10, etc.)

 

*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.