Network Pricing Consultant - Remote in West Region

This position will primarily support the West Region markets, including Colorado, New Mexico, and Wyoming. This position likely to be a telecommute arrangement, based on work experience.

Challenge can often be its own reward. But why settle for just being challenged when you can also be nurtured, mentored and supported in building an impact and fast paced career? With UnitedHealth Group you can have all of the above, everyday. Here's your opportunity to combine expertise and compassion in new ways as you strike the balance between health care costs and resources. In this senior role, you'll ensure that health care 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.

If you are located in West Region, you will have the flexibility to work remotely as you take on some tough challenges.

Primary Responsibilities:

• Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers
• Analyze financial impact of provider contracts (e.g., facility; physician; ancillary).
• Analyze financial impact of corporate initiatives (e.g., policy changes; healthcare affordability) or external regulations (e.g., healthcare reform)
• Analyze payment appendices to provide options for various contracting approaches and methodologies.
• Communicate results of financial impact and analysis to appropriate stakeholder groups (e.g., Network Management; Network Pricing leadership).
• Conduct financial and network pricing modeling, analysis and reporting
• Peer review the analytical models of others
• Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
• Lead large, complex projects to achieve key business objectives
• Influence pricing strategies and rate development by highlighting opportunities for improvement or protecting favorable rate structures
• Strategize rates or contract methodology with network management to create optimal contract
• Review competitive analysis to identify appropriate pricing rate for provider

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:

• Undergraduate degree in Math, Statistics, Finance, Economics or related field of study
• 4+ years of analytical experience in financial analysis, healthcare pricing, network pricing, healthcare economics or related discipline
• 3+ years of experience with provider payment methodologies and healthcare products
• Presentation experience to internal or external stakeholders or customers
• Solid interpersonal, collaboration, negotiation and communication skills
• Advanced level of proficiency in MS Excel
• Intermediate ability to interpret and review financial modeling results to evaluate the financial impact of contract changes and develop forecasts
• Proven ability to manage multiple projects simultaneously and meet deliverable deadlines
• Proven ability to research and solve problems independently
• Proven excellent financial impact analysis, risk management, and data manipulation skills
• Located in the West Region

Preferred Qualifications:

• Postgraduate degree in Math, Statistics, Finance, Economics or Actuarial Science
• Experience in MS Access, SAS and/or SQL
• Experience with advanced statistical functions for financial modeling
• Experience with medical coding (CPT, MSDRG, REV, ICD-10, etc.)
• Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling

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

California, Colorado, Hawaii, Nevada, or Washington Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.