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Network Pricing Consultant - Remote

Company: UnitedHealth Group
Location: Hartford
Posted on: November 22, 2022

Job Description:

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)What makes your career greater with UnitedHealth Group? Growth opportunities among the variety of product lines and making an impact on the healthcare system ensures it will always be challenging and exciting.The Sr. 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 Consultants conduct 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.If you can work work 8-5 PM EST hours, you will have the flexibility to telecommute as you take on some tough challenges. Primary Responsibilities:

  • Conduct financial and network pricing modeling, analysis and reporting
  • Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
  • 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
  • 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
  • Anticipate customer needs and proactively develop solutions to meet them
  • Lead the development of strategic initiatives aimed at reducing the total cost of care
  • Motivate and inspire other team membersYou'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 bachelor's degree
    • 4+ years of experience in financial analysis, network contract pricing, healthcare economics or related discipline
    • 3+ years of experience with provider payment methodologies and healthcare products
    • 3+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
    • Intermediate level of proficiency in performing financial impact analysis, risk management and data manipulation
    • Intermediate 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/trend projections Preferred Qualifications:
      • Post graduate degree in Finance, Math, Economics or Statistics
      • Knowledge of Commercial, Medicare and Medicaid plans
      • Exposure to New Jersey healthcare market
      • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodationSoft Skill:
        • Solid written and verbal communication skills, comfortable presenting to groupsTo protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employmentCareers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)Connecticut Residents Only: The salary range for Connecticut residents is $72,800 to $129,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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. All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.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.

Keywords: UnitedHealth Group, Hartford , Network Pricing Consultant - Remote, Accounting, Auditing , Hartford, Connecticut

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