Healthcare Network Pricing Strategist — Remote

UnitedHealth Group; Kentucky; Remote; USD 73,000 - 130,000; Full time

Benefits offered by this job

Benefits package

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group, through UnitedHealthcare, seeks a Network Pricing Consultant to price provider networks across East Region markets including Kentucky, Indiana, and Ohio, using financial modeling to ensure accurate and fair contracts.

The role offers remote work from anywhere in the U.S., collaboration with network managers, and opportunities to mentor others while leading large analytical projects that influence pricing strategies.

Qualifications

• 4+ years of analytical experience.
• 3+ years with provider payment methodologies and healthcare products.
• Experience presenting to internal or external stakeholders.
• Demonstrated financial impact analysis and data manipulation skills.
• Advanced proficiency in Microsoft Excel.
• Proven ability to interpret financial modeling results and develop forecasts.
• Proven ability to manage multiple projects simultaneously.
• Proven ability to research and solve problems independently.

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.

Skills

Analytical thinking

Provider payment methods

Excel – advanced

Forecasting

Project management

Stakeholder communication

Independent problem solving

Job description

UnitedHealth Group, through UnitedHealthcare, seeks a Network Pricing Consultant to price provider networks across East Region markets including Kentucky, Indiana, and Ohio, using financial modeling to ensure accurate and fair contracts.

The role offers remote work from anywhere in the U.S., collaboration with network managers, and opportunities to mentor others while leading large analytical projects that influence pricing strategies.