Senior Network Pricing Consultant - Remote

UnitedHealth Group•Louisville, KY

6h•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. Can we all can agree that the quality of health care is marching forward and upward with great momentum? Yes. But it's not just quality of care. The entire system is becoming more efficient and effective thanks to companies like UnitedHealth Group and people like you. Here's your opportunity to use your expertise in new ways as you strike the balance between health care costs and resources. Performing unit cost and contract valuation analysis, you'll ensure that healthcare contracts are priced accurately and fairly for all involved. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader. 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. 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. 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

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
Expertise in financial impact analysis, risk management and data manipulation
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
Expert level proficiency in MS Excel
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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