Remote Health Policy Consultant

7 days ago


Greensboro, North Carolina, United States UnitedHealthcare Full time
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.

The successful candidate supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting.

They will also conduct unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies.

Other duties include managing unit cost budgets, target setting, performance reporting, and being responsible for related financial models.
This position will primarily support the Southeast Region markets and is likely to be a telecommute arrangement.

But why settle for just being challenged when you can also be nurtured, mentored, and supported in building an impact and fast paced career?You'll enjoy the flexibility to work remotely * from anywhere within the U.

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; Communicate results of financial impact and analysis to appropriate stakeholder groups (e.g., Network Management, Network Pricing leadership)
Effectively summarize information while providing supporting data to a variety of audiences
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
Influence pricing strategies and rate development by highlighting opportunities for improvement or protecting favorable rate structures
Strategize with network management to create optimal contracts
Perform various ad hoc projects in a timely and accurate manner
Demonstrate a customer service mindset

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.

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
~ Familiarity with interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and developing forecasts
~ Advanced level of proficiency in Microsoft Excel
~ Proven ability to manage multiple projects simultaneously and meet deliverable deadlines
~ Proven excellent financial impact analysis, risk management, and data manipulation skills
~ Postgraduate degree in Math, Statistics, Finance, Economics or Actuarial Science
~Experience with 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, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, 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).


Application Deadline:

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.

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.

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