Manager, Network Pricing - Remote

UnitedHealthcare; Maitland (FL); Remote; USD 89,000 - 161,000; Full time

Job summary

Join a leading company as a Manager in Network Pricing. This role involves supporting and managing pricing strategies that ensure healthcare contracts are competitively priced and fair. Leverage your financial analysis skills and collaborate with various stakeholders to drive improvements in healthcare affordability and efficacy.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Qualifications

• 6+ years of experience in financial analysis or healthcare pricing.
• 4+ years with provider payment methodologies.
• Advanced proficiency in financial modeling.

Responsibilities

• Support network pricing strategies and analyze financial impact.
• Manage unit cost budgets and lead complex projects.
• Conduct financial modeling in support of negotiation strategies.

Skills

Financial impact analysis

Risk management

Data manipulation

Interpersonal skills

Negotiation skills

Communication skills

Education

Bachelor's degree in a related field

Tools

MS Excel

MS Access

SAS

SQL

Job description

Join to apply for the Manager, Network Pricing - Remote role at UnitedHealthcare

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Join to apply for the Manager, Network Pricing - Remote role at UnitedHealthcare

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.

This position supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting. Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Manages unit cost budgets, target setting, performance reporting, and associated financial models.

This position will primarily support the Tampa market. This position is based in the Cypress. Telecommute arrangement can be considered based on work experience.

Challenge can often be its own reward. But why settle for just being challenged when you can also be nurtured, mentored and supported in building an impact and fast paced career? With UnitedHealth Group you can have all of the above, everyday. Here's your opportunity to combine expertise and compassion in new ways 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. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 7 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 (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
• Manage a team of network pricing consultants which includes training and mentoring younger consultants as well as accountability for reviewing project work of direct reports
  
  

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

• 6+ years of analytical experience in financial analysis, healthcare pricing, network pricing, healthcare economics or related discipline
• 4+ years of experience with provider payment methodologies and healthcare products
• Excellent financial impact analysis, risk management, and data manipulation skills
• Excellent interpersonal, collaboration, negotiation and communication skills
• Advanced level of proficiency in MS Excel
• Experience in MS Access, SAS and/or SQL
• Intermediate ability to interpret and review financial modeling results to evaluate the financial impact of contract changes and develop forecasts
• Prior presentation experience to internal or external stakeholders or customers
• Ability to manage multiple projects simultaneously and meet deliverable deadlines
• Ability to research and solve problems independently
  
  

Preferred Qualifications

• Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling
• Experience with advanced statistical functions for financial modeling
• Experience with medical coding (CPT, MSDRG, REV, ICD-10, etc.)
• Experience in MS Access, SAS and/or SQL
• Prior managerial experience
• 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. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits re subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,800 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Information Technology

• Industries

  Hospitals and Health Care

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