Senior Network Pricing Consultant - Remote CST/EST preferred

UnitedHealth Group•Eden Prairie, MN

1d•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
Experience developing and interpreting financial and pricing models to support contract valuation and network strategy
Advanced Excel skills with demonstrated ability to analyze large, complex datasets efficiently
Working experience with SQL to support ad hoc analysis and reporting
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
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 PPM (Physician Pricing Model) and UCRT (Unit Cost Reporting Tool)
Experience leveraging enterprise approved automation or AI tools to improve efficiency in analytical workflows
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)
Solid consultative, problem solving, and cross functional collaboration skills

Responsibilities

Own and maintain Out of Network and hospital based physician pricing models, ensuring accuracy, consistency, and compliance with Federal No Surprises Act and state Surprise Medical Bill regulations
Apply deep knowledge of OON and surprise billing programs to support pricing strategy and dispute resolution initiatives
Perform complex financial and pricing analyses to evaluate reimbursement strategies and network configurations across hospital, ancillary, and physician provider types
Develop, enhance, and maintain analytical and financial models, including SQL based reporting and advanced Excel formulas/macros
Independently produce ad hoc analyses and customized reports to support enterprise and pricing needs, including provider terminations
Partner cross functionally to prepare insights, research, and data driven talking points that inform pricing and network strategy decisions
Serve as a subject matter expert for network pricing, confidently presenting findings, resolving model issues, and translating complex analysis into concise recommendations for leadership