Network Pricing Consultant - Remote in CST​/EST

Position: Network Pricing Consultant - Remote in CST/EST preferred
Job d:

Location:

, Ohio, United States Salary: $72,800 - $130,000/year

Job Area:
Network Contracting & Pricing Company:
United Health Group At United Healthcare, 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 optimized. Ready to make a difference? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring.

Connecting. Growing together.

This opportunity is all about complexity and meaningful impact. You will play a key role in accurately and effectively pricing our provider network across East Region markets, including Kentucky, Indiana, and Ohio. Success in this role requires solid analytical thinking, creativity in interpreting contract structures, and the ability to leverage available resources to develop accurate and reliable pricing.

As a Network Pricing Consultant, you will support and validate Provider Network (hospital, physician, ancillary facilities, etc.) contracting and unit cost management activities through financial modeling, analysis, and reporting. You will conduct unit cost and contract valuation analysis to support negotiations and unit cost management strategies, while managing unit cost budgets, targets, and performance reporting.

Challenge can often be its own reward, but why settle for challenge alone when you can also be supported, mentored, and developed in a fast-paced and impactful career? With United Health Group, you can expect all of the above, every day. Here's your opportunity to combine analytical expertise and collaborative problem-solving as you strike the balance between health care costs and resources.

In this role, you'll ensure that health care contracts are priced accurately and fairly for all involved, backed by the resources and stability of a Fortune 5 leader.

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

Primary Responsibilities:

Support network pricing strategies and tactics in collaboration with local network field leaders and network managers

Analyze financial impact of provider contracts

Evaluate financial impact of corporate initiatives and external regulations

Review payment appendices and develop options for various contracting approaches and methodologies

Communicate financial impact findings and insights to stakeholder groups

Conduct financial and network pricing modeling, analysis, and reporting

Provide mentorship and engage in detailed peer review activities

Perform unit cost and contract valuation analysis to support network contracting and unit cost management strategies

Lead large and complex analytical projects to support key business objectives

Influence pricing strategies and rate development by identifying opportunities or safeguarding favorable structures

Collaborate with Network Management to strategize rates or contract methodologies

Review competitive analysis to determine appropriate provider pricing

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.

Please review the required qualifications as posted below. You must meet or exceed the requirements posted to be eligible for review for the position.

Required Qualifications:

4+ years of analytical experience3+ years of experience with provider payment methodologies and healthcare products

Experience presenting to internal or external stakeholders

Demonstrated…