Senior Network Pricing Consultant, Missouri - Remote

UnitedHealth Group•St. Louis, MO
•Remote

About The Position

At UnitedHealthcare, the Senior Network Pricing Consultant helps simplify the health care experience, create healthier communities, and remove barriers to quality care. The role uses expertise in unit cost and contract valuation analysis to help balance health care costs and resources and ensure health care contracts are priced accurately and fairly. This is a remote position that can be performed from anywhere within the U.S. The position combines strategic leadership with financial analysis and network pricing. It supports provider network contracting and unit cost management through financial and network pricing models, analysis, and reporting across physicians, hospitals, pharmacies, ancillary facilities, and other provider types. The consultant conducts contract valuation analyses, manages unit cost budgets and targets, and develops analytical approaches that improve pricing accuracy and business outcomes. The role also contributes to business strategy, influences senior leaders, leads cross-functional teams, and provides subject-matter expertise and mentorship.

Requirements

  • At least 5 years of analytical experience in financial analysis, health care pricing, network management, health care economics, or a related discipline.
  • At least 5 years of experience with provider payment methodologies and health care products.
  • At least 5 years of experience creating and using financial modeling tools, spreadsheets, and information acquisition tools.
  • Experience interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts.
  • Expertise in financial impact analysis, risk management, and data manipulation.
  • Expert-level proficiency in MS Excel.
  • Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.
  • Candidates must pass a drug test before beginning employment.

Nice To Haves

  • Experience with medical coding, such as CPT, ICD-9, and ICD-10.
  • Knowledge of MS Access.

Responsibilities

  • Anticipate emerging customer needs and develop innovative solutions.
  • Contribute to the development of business strategy.
  • Influence senior leadership to adopt new ideas, products, and approaches.
  • Lead cross-functional and cross-segment teams.
  • Serve as a trusted subject-matter expert.
  • Provide leadership and mentorship to colleagues.
  • Support and validate provider network contracting and unit cost management through financial and network pricing modeling, analysis, and reporting across provider types.
  • Conduct unit cost and contract valuation analyses to support network contracting negotiations and unit cost management strategies.
  • Manage unit cost budgets, target setting, performance reporting, and related financial models.
  • Develop innovative analytical approaches to improve pricing accuracy and business outcomes.
  • Review the work of others and recommend improvements.

Benefits

  • Comprehensive benefits package, subject to eligibility requirements.
  • Incentive and recognition programs.
  • Equity stock purchase plan.
  • 401(k) contribution, subject to eligibility requirements.
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