Network Pricing Consultant - Remote in CST/EST preferred

UnitedHealth Group•Independence, OH

1d•Remote

About The Position

This opportunity is all about complexity and meaningful impact. You will play a key role in accurately and effectively pricing our provider network across East Region markets, including Kentucky, Indiana, and Ohio. Success in this role requires strong analytical thinking, creativity in interpreting contract structures, and the ability to leverage available resources to develop accurate and reliable pricing. As a Network Pricing Consultant, you will support and validate Provider Network (hospital, physician, ancillary facilities, etc.) contracting and unit cost management activities through financial modeling, analysis, and reporting. You will conduct unit cost and contract valuation analysis to support negotiations and unit cost management strategies, while managing unit cost budgets, targets, and performance reporting. Challenge can often be its own reward, but why settle for challenge alone when you can also be supported, mentored, and developed in a fast-paced and impactful career? With UnitedHealth Group, you can expect all of the above, every day. Here’s your opportunity to combine analytical expertise and collaborative problem-solving as you strike the balance between health care costs and resources. In this role, you’ll ensure that health care contracts are priced accurately and fairly for all involved, backed by the resources and stability of a Fortune 5 leader. While this role primarily supports East Region markets, you’ll enjoy the flexibility to work remotely from anywhere in the U.S.

Requirements

Undergraduate degree in Math, Statistics, Finance, Economics, or related field
4+ years of analytical experience
3+ years of experience with provider payment methodologies and healthcare products
Experience presenting to internal or external stakeholders
Financial impact analysis and data manipulation skills
Advanced proficiency in Microsoft Excel
Ability to interpret financial modeling results and develop forecasts
Ability to manage multiple projects simultaneously
Ability to research and solve problems independently

Nice To Haves

Experience with advanced statistical functions for financial modeling
Experience with various payment methodology types
Knowledge of commercial, Medicare, and Medicaid PPO/HMO revenue and expense patterns
Solid interpersonal, collaboration, negotiation, and communication abilities

Responsibilities

Support network pricing strategies and tactics in collaboration with local network field leaders and network managers
Analyze financial impact of provider contracts
Evaluate financial impact of corporate initiatives and external regulations
Review payment appendices and develop options for various contracting approaches and methodologies
Communicate financial impact findings and insights to stakeholder groups
Conduct financial and network pricing modeling, analysis, and reporting
Provide mentorship and engage in detailed peer review activities
Perform unit cost and contract valuation analysis to support network contracting and unit cost management strategies
Lead large and complex analytical projects to support key business objectives
Influence pricing strategies and rate development by identifying opportunities or safeguarding favorable structures
Collaborate with Network Management to strategize rates or contract methodologies
Review competitive analysis to determine appropriate provider pricing