Senior Network Pricing – Healthcare – Remote

• 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; physician; ancillary)
• Analyze financial impact of corporate initiatives (e.g., policy changes; healthcare affordability) or external regulations (e.g., healthcare reform)
• Analyze payment appendices to provide options for various contracting approaches and methodologies
• Communicate results of financial impact and analysis to appropriate stakeholder groups (e.g., Network Management; Network Pricing leadership)
• 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 large, complex projects to achieve key business objectives
• Influence pricing strategies and rate development by highlighting opportunities for improvement or protecting favorable rate structures
• Strategize rates or contract methodology with network management to create optimal contract
• Review competitive analysis to identify appropriate pricing rate for provider

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.

• 8+ years of analytical experience in financial analysis, healthcare pricing, network pricing, healthcare economics or related discipline
• 5+ years of experience with provider payment methodologies and healthcare 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
• Presentation experience to internal or external stakeholders or customers
• Expert level proficiency in MS Excel
• Proven solid interpersonal, collaboration, negotiation and communication skills
• Proven excellent communication skills, both written and verbal
• Proven ability to manage multiple projects simultaneously and meet deliverable deadlines
• Proven ability to research and solve problems independently

Preferred Qualifications:

• Experience in MS Access, SAS, SQL, R, or Python
• 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
• Experience with provider capitation, both diagnostic risk-adjustment and age/sex adjusted rate banding

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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.
The salary range for this role is $89,800 to $176,700 annually based on full-time employment. 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.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.