Note: The job is a remote job and is open to candidates in USA. UnitedHealth Group is a health care company focused on simplifying the health care experience, creating healthier communities, and improving access to quality care. The Network Pricing Consultant will price provider networks across West Region markets by conducting financial modeling, contract valuation, unit cost analysis, and reporting. The role also supports contracting negotiations, pricing strategies, stakeholder communications, and complex analytical projects.
Responsibilities
- Support network pricing strategies and tactics in collaboration with local network field leaders and network managers
- Analyze financial impact of provider contracts
- Evaluate financial impact of corporate initiatives and external regulations
- Review payment appendices and develop options for various contracting approaches and methodologies
- Communicate financial impact findings and insights to stakeholder groups
- Conduct financial and network pricing modeling, analysis, and reporting
- Provide mentorship and engage in detailed peer review activities
- Perform unit cost and contract valuation analysis to support network contracting and unit cost management strategies
- Lead large and complex analytical projects to support key business objectives
- Influence pricing strategies and rate development by identifying opportunities or safeguarding favorable structures
- Collaborate with Network Management to strategize rates or contract methodologies
- Review competitive analysis to determine appropriate provider pricing
Skills
- 4+ years of analytical experience
- 3+ years of experience with provider payment methodologies and healthcare products
- Experience presenting to internal or external stakeholders
- Financial impact analysis and data manipulation skills
- Advanced proficiency in Microsoft Excel
- Proven solid interpersonal, collaboration, negotiation, and communication abilities
- Proven ability to interpret financial modeling results and develop forecasts
- Proven ability to manage multiple projects simultaneously
- Proven ability to research and solve problems independently
- 3+ years of experience with provider payment methodologies and healthcare products
- 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/HMO revenue and expense patterns
Benefits
- Flexibility to work remotely from anywhere in the U.S.
- Supported, mentored, and developed in a fast-paced and impactful career
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
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