Manager, Network Pricing and Code Management - Remote

UnitedHealth Group Inc.•La Crosse, WI

37d•Remote

About The Position

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Manager - Network Pricing and Code Management is responsible for overseeing the implementation of service/CPT codes and leading the development of network pricing analytics and strategic initiatives. This role plays a critical part in ensuring accurate code management and optimizing pricing strategies to support network operations. Please note: The responsibilities outlined below are not exhaustive. Additional duties may be assigned based on leadership direction and evolving business needs. 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. 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

Undergraduate degree in Business, Data Analytics, Statistics, Finance, or a healthcare-related field (commensurate experience will be considered)
4+ years of related experience (e.g., project management, network management, data analytics, or a related field)
Intermediate knowledge of medical and dental claims, coding, and billing practices
Advanced proficiency in Microsoft Excel
Proven ability to research and solve problems independently with minimal oversight
Proven excellent verbal and written communication skills
Proven solid analytical thinking, multitasking, organizational, and time management skills
Proven ability to manage multiple projects simultaneously and meet deliverable deadlines
Proven ability to work in a fast-paced environment; flexible and adaptable to changing situations
Proven high attention to detail and accuracy
Proven solid impact analysis and data manipulation skills
Driver's License and access to reliable transportation

Nice To Haves

Medical coding certification (e.g., through AAPC or AHIMA)
Experience in network pricing
Experience with relational databases (e.g., MedNet)
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Responsibilities

Maintain ownership of medical and dental coding changes and implementations across network programs
Ensure accurate service code data structure construction and completion of pre- and post-release acceptance testing to support successful service code implementation through cross-departmental collaboration
Collaborate with internal departments to identify and mitigate the impact of annual ADA/AMA coding changes
Identify appropriate procedure codes and pricing for new business opportunities
Collaborate with Finance to develop and maintain contracting rate guidance
Influence network pricing strategies and decisions using a data-driven approach
Conduct financial and network pricing modeling, analysis, and reporting
Review data trends, visualizations, and patterns to uncover issues and communicate findings to leadership