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Pricing Configuration Director

2 months ago

Minnetonka, United States UnitedHealth Group Full time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.


Primary Responsibilities:

  • Manage leaders and staff to support pricing configuration across multiple markets, multi-payor and multi lines of business
  • Provide end-to-end analysis and coordination of complex configuration requirements including assessing and addressing risks, dependencies, and impacts
  • Oversee inventory and work assignments to ensure adherence to TAT's and performance metrics
  • Hold team accountable to delivering timely and quality results
  • Coach Leaders and SMEs to improve performance through individual action plans, mentoring and feedback
  • Establish configuration controls and monitoring to ensure proactive quality processes and high-quality outcomes
  • Provide expertise and maintain solid relationships with market contacts, Sr. leadership, and internal/external business partners
  • Ability to lead, negotiate and influence in a matrixed reporting relationship
  • Drive decision making, problem solving, solution design and engagement of key subject matter experts and stakeholders
  • Ensure timely and accurate loading of fee schedules and adherence to all regulatory & compliance requirements
  • Communicates effectively across all levels of leadership and changes style based on audience
  • Participate in capacity planning for growth and strategy sessions to increase efficiency and reduce operating costs

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:

  • 5+ years management experience
  • 5+ years of configurations operations experience
  • 5+ years of fee schedule and pricing experience
  • 5+ years of Healthcare experience in a production environment

Preferred Qualifications:

  • 5+ years of Facets knowledge - specifically NetworX and Rate Manager
  • Experience with multi payor model
  • Commercial, Medicaid, and Medicare experience
  • Proven solid communication skills
  • Proven solid Analytical skill

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


California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington or Washington, D.C. Residents Only: The salary range for this role is $104,700 to $190,400 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 employers 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.