Network Pricing Consultant - Remote (CT/ET pref...

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

The Network Pricing Consultant supports and validates Provider Network (physicians, hospitals, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Network Pricing Consultant conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Responsibilities also include managing unit cost budgets, target setting, performance reporting, and associated financial models.

You’ll enjoy the flexibility to work remotely* from anywhere within the U.S., preferably in CST or EST time zones, as you take on some tough challenges.  

Primary Responsibilities

• Lead the design and creation of analytic models to evaluate financial impact of business strategies
• Lead the development of strategic initiatives aimed at reducing the total cost of care
• Lead projects to completion by contributing to database creation, statistical modeling and financial reports
• Concisely summarize and communicate the results of complex analytics
• Influence pricing strategies and network configuration decisions using a data driven approach
• Provide consultative advice on use of data as subject matter expert and interpret/summarize analytical findings
• Evaluate financial impacts of network configurations across hospital, ancillary and physician provider types
• Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
• Analyze and summarize broad impact of changes in network configurations to premium price differentials
• Work with cross-functional teams across the organization to make strategic decisions supported by data
• Review work performed by others and recommend improvements

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.

Required Qualifications

• Bachelor’s degree in business, economics, statistics, mathematics, or a related degree
• 2+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools to perform financial impact analytics and data manipulation
• 1+ years of analytical experience in financial analysis, health care pricing, network management, healthcare economics or related discipline
• Advanced level proficiency with MS Excel
• Willing and able to work Eastern Standard Time Zone hours

Preferred Qualifications

• 3+ years of experience working with large databases to produce a focused analysis for data manipulation and reporting
• 1+ years of experience with provider payment methodologies and healthcare products
• 1+ years of hospital, ancillary, and physician modeling experience
• Experience with medical coding (CPT, DRG, ICD-9, ICD-10, etc.)
• Proven excellent written and verbal communication, time/project management, problem solving, and organization skills

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.