Design and run financial and network pricing models to evaluate provider contracts and unit costs. Support negotiations set unit cost targets produce analytical reports and advise cross-functional teams to reduce total cost of care.

Requisition Number: 2350084
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 $72800 to $130000 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.
At UnitedHealth Group our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race gender sexuality age location and income-deserves the opportunity to live their healthiest life. Today however there are still far too many barriers to good health which are disproportionately experienced by people of color historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race national origin religion age color sex sexual orientation gender identity disability or protected veteran status or any other characteristic protected by local state or federal laws rules or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.