Current jobs related to Pricing Configuration Capability Manager - Maitland - UnitedHealth Group

  • Epic Security Configuration Specialist

    1 week ago

    Maitland, Florida, United States Abra Full time

    Job Opportunity Abra is seeking a skilled Security Lead to manage the security configuration and access controls for Epic, ensuring compliance with organizational security policies and industry standards.Key Responsibilities:• Lead the configuration of security settings within the Epic system.• Ensure that access controls comply with organizational and...

  • Construction Estimation Manager

    4 weeks ago

    Maitland, Florida, United States Williams Company Inc Full time

    Job OverviewSUMMARYThe Pre-Construction Manager (PCM) plays a crucial role in identifying the most effective overall expenses for executing designated projects. The PCM is responsible for overseeing multiple projects that range from moderate to high complexity, while also providing additional support on Estimator Projects. This position requires a variety of...

  • Deal Desk Analyst

    1 month ago

    Maitland, United States ADP Full time

    ADP is hiring a Deal Desk Analyst – Compliance Solutions (CoSo) within our Commercial Operations Center of Excellence (CoE) * This is a hybrid role based out of our Maitland, FL, office. Qualified candidates must live within commutable distance to this location. *The Deal Desk Analyst is a key facilitator for the Sales teams. You will serve as a trusted...

  • Project Manager

    3 weeks ago

    Maitland, Florida, United States PC Construction Full time

    About the RoleWe are seeking a highly skilled Project Manager to join our team at PC Construction. As a key member of our team, you will be responsible for managing administrative activities on a construction project and performing project management duties within a limited scope of work with little oversight.Key ResponsibilitiesProject Coordination:...

  • Pre-Construction Manager

    2 months ago

    Maitland, United States Williams Company Inc Full time

    Job DescriptionJob DescriptionSUMMARYThe Preconstruction Manager (PCM) is accountable for determining the most efficient total cost to complete assigned projects. The PCM may run multiple projects with moderate to high complexity with additional oversight on Estimator Projects. All types of estimates are required, including conceptual, preliminary budgets,...

  • Pre-Construction Manager II

    1 month ago

    Maitland, United States Shyft6 Full time

    Job DescriptionJob DescriptionSUMMARYThe Preconstruction Manager II (PCM II) is accountable for determining the most efficient total cost to complete assigned projects. The PCM II will run multiple projects with moderate to high complexity with additional oversight on PCM I and Estimator Projects. All types of estimates are required, including conceptual,...

  • Commercial Underwriting Specialist

    2 weeks ago

    Maitland, Florida, United States AmTrust Financial Full time

    Job SummaryWe are seeking a highly skilled Commercial Underwriting Specialist to join our team at AmTrust Financial. As a key member of our underwriting team, you will be responsible for providing solutions-oriented decision support for field underwriters on transactions that exceed field authority.Key ResponsibilitiesProvide consultation on AmTrust product...

  • Underwriting Consultant

    1 week ago

    Maitland, Florida, United States AmTrust Financial Full time

    Job SummaryThe Underwriting Officer will provide strategic support to field underwriters on complex transactions, leveraging expertise in commercial lines products and market trends to drive business growth and profitability. This role requires a strong analytical mindset, excellent communication skills, and the ability to work collaboratively with...

  • Payer Manager Managed Care Specialist

    4 days ago

    Maitland, Florida, United States AdventHealth Full time

    About the RoleWe are seeking a highly skilled Payer Manager Managed Care professional to join our team at AdventHealth. As a key member of our revenue cycle team, you will play a critical role in ensuring the accuracy and integrity of reimbursement calculations and contract term management for our providers.Key ResponsibilitiesUnderstand and interpret payer...

  • Digital Marketing Manager

    6 days ago

    Maitland, Florida, United States Market Traders Institute Full time

    Job Title: Digital Marketing ManagerMarket Traders Institute is seeking a highly skilled Digital Marketing Manager to lead a small, dynamic team responsible for driving online revenue and lead acquisition. As a key leader, you will utilize Go High Level CRM to optimize customer journeys and campaigns, with a strong focus on generating leads and driving...

  • Assistant Manager in Training

    10 hours ago

    Maitland, Florida, United States Scenthound Full time

    About the PositionThe Assistant Manager in Training is a key role at Scenthound, focused on selling memberships while providing exceptional service to every customer. This position requires a sales-driven individual with a passion for dogs and dog health & wellness.Key ResponsibilitiesDrive membership sales through health and wellness educationDrive key...

  • IT Support Specialist

    2 weeks ago

    Maitland, Florida, United States Thompsoncs Full time

    IT Support Specialist **Job Summary** Thompson Consulting Services is a leading emergency response and disaster recovery consultancy with over four decades of experience responding to natural disasters. We are seeking a skilled IT Coordinator to maintain our information technology systems and networks. **Key Responsibilities** * Develop and implement IT...

  • Treasury Management Sales Specialist

    4 weeks ago

    Maitland, Florida, United States Seacoast Bank Full time

    Job OverviewKey ResponsibilitiesThe Treasury Management Sales Officer (TMSO) is accountable for overseeing and actively seeking treasury revenue opportunities and product integration within Seacoast Bank's designated portfolio. In certain instances, the TMSO may also explore client and prospect opportunities beyond the assigned portfolio. This role requires...

  • BIM Manager

    4 months ago

    Maitland, United States Luxus Full time

    Job DescriptionJob DescriptionJob Title: Architectural BIM ManagerLocation: Maitland, FloridaOverviewWe are seeking a highly skilled and experienced Architectural BIM Manager to lead and manage our Building Information Modeling (BIM) processes. The ideal candidate will have a strong background in architecture, extensive experience with BIM software, and a...

  • Transportation Program Manager

    4 months ago

    Maitland, United States Larson Design Group Full time

    Job DescriptionJob DescriptionAbout UsLarson Design Group (LDG) is an award-winning, employee-owned Architecture, Engineering, and Consulting Firm. Guided by our core values, we’re expanding our team, opening new offices, and adding new offerings to provide responsive, innovative solutions to clients nationwide.   Being 100% employee-owned directly...

  • Client Systems Administrator

    3 weeks ago

    Maitland, United States Shyft6 Full time

    This is a remote position. We are seeking a skilled and experienced Client System Administrator to join our team. As a Client System Administrator you will be responsible for managing and maintaining our clients IT infrastructure ensuring smooth operations and optimal performance. You will collaborate with internal teams and external clients to address...

  • Project Manager

    4 months ago

    Maitland, United States Larson Design Group Full time

    Job DescriptionJob DescriptionAbout UsLarson Design Group (LDG) is an award-winning, employee-owned Architecture, Engineering, and Consulting Firm. Guided by our core values, we’re expanding our team, opening new offices, and adding new offerings to provide responsive, innovative solutions to clients nationwide.   Being 100% employee-owned directly...

  • Transportation Sr. Project Manager

    3 months ago

    Maitland, United States Larson Design Group Full time

    Job DescriptionJob DescriptionAbout UsLarson Design Group (LDG) is an award-winning, employee-owned Architecture, Engineering, and Consulting Firm. Guided by our core values, we’re expanding our team, opening new offices, and adding new offerings to provide responsive, innovative solutions to clients nationwide.   Being 100% employee-owned directly...

  • Project Manager

    3 months ago

    Maitland, United States Larson Design Group Full time

    Job DescriptionJob DescriptionAbout UsLarson Design Group (LDG) is an award-winning, employee-owned Architecture, Engineering, and Consulting Firm. Guided by our core values, we’re expanding our team, opening new offices, and adding new offerings to provide responsive, innovative solutions to clients nationwide.   Being 100% employee-owned directly...

  • Account Developer

    1 week ago

    Maitland, Florida, United States Staples, Inc. Full time

    Job Title: Account Developer - FacilitiesAt Staples, we're looking for a skilled Account Developer to join our team. As a key member of our sales team, you'll be responsible for selling FS products, programs, and solutions into prospect and new accounts.Key Responsibilities:Selling FS products, programs, and solutions into prospect and new accountsCustomer...

Pricing Configuration Capability Manager

3 months ago

Maitland, 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.** As the **Pricing Configuration Capability Manager** , you will be vital to our success and drive quality improvements and operating efficiency for provider contract configuration and the providers Optum Care serves who have contracts that are based on Medicare, Medicaid, or Commercial reimbursement requirements. You will join a team of operation leaders and play a vital role in ensuring we consistently meet and exceed market expectations. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Serve as primary pricing source to assess business requirements against Facets / NetworX capabilities; ensure identified limitations are documented and communicated to delegated entities, project leads, IT resources and management + Interpret payor contracts to determine division of financial responsibility between payer and plan + Serve as pricing expert to critically assess provider contracts that are based on Medicare reimbursement methodology, including Prospective Payment Systems (PPS) for facilities or one or more of Medicare’s fee schedules; convert contracts into standard design templates for others to use for configuration purposes + Read, interpret, and critically assess provider contracts that are based on Medicaid reimbursement methods; or for contracts that are based solely on commercial pricing methods, to define configuration rules for analysts + Assess new contract strategies for existing and new payers to ensure Facets/NetworX system capability can meet pricing requirement; and recommend solutions to minimize manual processes to address system limitations + Collaborate with Pricing Configuration Managers / SMEs to identify and define quality improvement requirements to ensure flawless pricing execution + Promote understanding of provider reimbursement and system architecture to drive cross functional team collaboration + Gather technical requirements and participate in the documentation of business requirements to facilitate the creation of automated solutions and control reports to monitor and improve standards in pricing operations + Participate in new market implementation and system conversions to provide business feedback and requirements + Perform user acceptance testing and assigned tasks to enable operational readiness for NetworX system upgrades and program enhancements, ensuring all end-to-end operational impacts assessed, requirements defined, operations documentation completed (e.g., process flows, policies, and procedures), communications delivered, and ongoing operations support established + Provide thought leadership in identifying and defining ongoing incremental opportunities + Evaluate and continually improve processes to achieve goals that drive best in class pricing outcomes and financial results 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 Facets / NetworX Pricing experience, preferably in provider pricing configuration role + 5+ years reading and interpreting physician/facility/ancillary contracts and their associated reimbursement methodologies + 5+ years working with Medicare, Medicaid, or Commercial products + Experience gathering and documenting business requirements and developing workflows + Experience executing SQL queries and analyzing reports + Solid knowledge of end-to-end business processes that impact physician/facility/ancillary reimbursement, contract loading and/or auditing **Preferred Qualifications:** + Division of Financial Responsibility Configuration Experience using Facets Assigned Risk Module + Capitation Configuration Experience + Provider pricing delegation experience + Revenue Cycle Management experience + Experience with UHC Secondary Platforms (CSP Facets / COSMOS) *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, 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 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_