Senior Network Pricing Consultant - Remote

UnitedHealth Group•Richardson, TX

19h•$91,700 - $163,700•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. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

Bachelor’s degree or equivalent relevant work experience
5+ years of experience in healthcare pricing, financial analysis, network pricing, or healthcare economics
5+ years of analytical experience
3+ years of experience with hospital payment methodologies and healthcare products
Experience developing and interpreting financial and pricing models to support contract valuation and network strategy
Proven advanced Excel skills with demonstrated ability to analyze large, complex datasets efficiently
Proven solid communication skills with experience presenting complex analytical findings to stakeholders
Proven ability to manage multiple priorities and deliver results in a fast paced environment
Proven ability to research and solve problems independently
Proven ability to work Central or Eastern Time Zone hours

Nice To Haves

Experience with provider payment methodologies, including physician, hospital, and ancillary reimbursement
Experience with HPM (Hospital Pricing Model)
Experience leveraging enterprise approved automation or AI tools to improve efficiency in analytical workflows
Knowledge of commercial, Medicare, and Medicaid PPO/HMO revenue and expense patterns
Knowledge of Out of Network pricing, surprise billing regulations, and medical coding (e.g., CPT, DRG, ICD 10)
Proficiency with advanced data modeling tools (e.g., Power Pivot, data models, large databases)
Proven solid consultative, problem solving, and cross functional collaboration skills

Responsibilities

Support network pricing strategies and tactics in collaboration with local network field leaders and network managers
Analyze financial impact of provider contracts
Perform complex financial and pricing analyses to evaluate reimbursement strategies and network configurations across hospital, ancillary, and physician provider types
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