Senior Network Pricing Consultant

3 weeks ago

Houston, United States UnitedHealth Group Full time

At UnitedHealthcare, we‘re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.


Can we all can agree that the quality of health care is marching forward and upward with great momentum? Yes. But it‘s not just quality of care. The entire system is becoming more efficient and effective thanks to companies like UnitedHealth Group and people like you. Here‘s your opportunity to use your expertise in new ways as you strike the balance between health care costs and resources. Performing unit cost and contract valuation analysis, you‘ll ensure that healthcare 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 4 leader.


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


Primary Responsibilities:

  • Predict emerging customer needs and develop innovative solutions to meet them
  • Participate in the development of business strategy
  • Influence senior leadership to adopt new ideas, products and/or approaches
  • Direct cross-functional and/or cross-segment teams
  • Conduct financial and network pricing modeling, analysis and reporting
  • Review work performed by others and recommend improvements


This opportunity is all about complexity. You‘re expected to help accurately and effectively price the network. It‘s challenging because you need to be creative in the analytics behind the contract in order to utilize resources to build the data and price the network accurately.


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:

  • 8+ years of analytical experience in financial analysis, health care pricing, network management, healthcare economics or related discipline
  • 5+ years of experience with provider payment methodologies and health care products
  • 5+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
  • Expertise in financial impact analysis, risk management and data manipulation
  • Experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
  • Expert level proficiency in MS Excel


Preferred Qualifications:

  • Experience with medical coding (CPT, ICD-9, ICD-10, etc.)
  • Knowledge of MS Access


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


California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 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.

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