Senior Network Pricing Consultant - 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. This opportunity is all about complexity. You're expected to help accurately and effectively price the network. It's challenging because you need to be creative in the analytics behind the contract in order to utilize resources to build the data and price the network accurately. Supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Manages unit cost budgets, target setting, performance reporting, and associated financial models. Reviews the work of others, develops innovative approaches, is sought out as an expert, and serves as a leader/mentor.
Requirements
- 8+ years of analytical experience in financial analysis, health care pricing, network management, healthcare economics or related discipline
- 5+ years of experience with provider payment methodologies and health care products
- 5+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
- Experience in 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
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
- Candidates are required to pass a drug test before beginning employment.
Nice To Haves
- Experience with medical coding (CPT, ICD-9, ICD-10, etc.)
- Knowledge of MS Access
Responsibilities
- Predict emerging customer needs and develop innovative solutions to meet them
- Participate in the development of business strategy
- Influence senior leadership to adopt new ideas, products and/or approaches
- Direct cross-functional and/or cross-segment teams
- Conduct financial and network pricing modeling, analysis and reporting
- Review work performed by others and recommend improvements
- Supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting.
- Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies.
- Manages unit cost budgets, target setting, performance reporting, and associated financial models.
- Reviews the work of others
- Develops innovative approaches
- Sought out as expert
- Serves as a leader/ mentor
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
