Associate Director, Network Pricing - Remote PST/MST in PST/MST

UnitedHealth Group • Cypress, CA

4d • Remote

About The Position

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 Associate Director of Healthcare Economics – Network Pricing supports Provider Network contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting (VBC agreements, physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.). This onsite/hybrid/telecommute position engages our West Region team conducting ACO support along with unit cost and contract valuation analysis related to provider negotiations and medical cost management strategies. Responsibilities also include managing unit cost budgets, target setting, performance reporting, and associated financial models.
You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Develop and execute data management strategies with business partners in United Health Networks and United Health Clinical to help our contracted entities/internal partners be successful
Provide consultative advice on use of data as subject matter expert and interpret/summarize analytical findings
Collaborate with partners to identify, investigate, and communicate cost and utilization patterns for inefficiencies and potential opportunities in various member populations to help reduce overall total cost of care
Solves complex problems and finds innovative sustainable solutions
Influence pricing strategies and network configuration decisions using a data driven approach
Evaluate financial impacts of network configurations across hospital, ancillary and physician provider types
Work with cross-functional teams across the organization to make strategic decisions supported by data
Serve as subject matter expert on data, reporting and methodologies supporting our contracts and relationships
Resolve business problems and direct others to resolve business problems that affect multiple functions or disciplines
Make decisions about product, service or process decisions that will impact multiple functions and/or customer accounts (internal or external)
This role will involve extensive external meetings, and some travel, to negotiate with providers, share performance results and explain complex financial models.
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.

Requirements

• 5+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools including experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
• 3+ years of healthcare managerial experience
• Moderate or higher level experience with SAS and SQL
• Demonstrated career progression within healthcare economics, health care pricing, network management, or related discipline
• Proficiency in MS Excel
• Well versed in PowerPoint
• Ability to travel 15%25 of the time within the West US Region
• Telecommute or office-based focused on supporting West Region office locations (PST OR MST)

Nice To Haves

• Postgraduate degree
• 3+ year of experience working with large databases to produce a focused analysis with proficiency in SAS/SQL for data manipulation and reporting
• Detailed knowledge of Commercial, Medicare, and Medicaid payment methodologies for hospital, ancillary, and physician services
• Expert level of proficiency in performing financial impact analysis, risk management, and claims data manipulation
• Experience with advanced statistical functions for financial modeling
• Successful leadership experience
• Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling
• Moderate proficiency in Power BI, Tableau or other analytic visualization software
• Advanced written and verbal communications skills including negotiation and presentation
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Responsibilities

• Develop and execute data management strategies with business partners in United Health Networks and United Health Clinical to help our contracted entities/internal partners be successful
• Provide consultative advice on use of data as subject matter expert and interpret/summarize analytical findings
• Collaborate with partners to identify, investigate, and communicate cost and utilization patterns for inefficiencies and potential opportunities in various member populations to help reduce overall total cost of care
• Solves complex problems and finds innovative sustainable solutions
• Influence pricing strategies and network configuration decisions using a data driven approach
• Evaluate financial impacts of network configurations across hospital, ancillary and physician provider types
• Work with cross-functional teams across the organization to make strategic decisions supported by data
• Serve as subject matter expert on data, reporting and methodologies supporting our contracts and relationships
• Resolve business problems and direct others to resolve business problems that affect multiple functions or disciplines
• Make decisions about product, service or process decisions that will impact multiple functions and/or customer accounts (internal or external)

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees