Remote Healthcare Economics Analyst: Network Pricing

RXinsider LTD.; Cypress, Northern (CA, KY); Hybrid; USD 73,000 - 130,000; Full time

Job summary

UnitedHealth Group is seeking a Healthcare Economics Consultant to support the development, analysis, and maintenance of provider reimbursement and network pricing strategies. You will analyze claims, contracts, and market trends to help ensure financially sustainable network arrangements.

The role offers remote work from anywhere in the U.S., with in-office requirement for Minneapolis or DC area four days a week. Strong Excel and analytical skills are essential for success.

Qualifications

• Bachelor's degree in finance, Healthcare Administration, Economics, Statistics, Mathematics, Business Analytics, or related field.
• 2+ years of analytical experience in healthcare pricing, managed care, provider reimbursement, network contracting, finance, or healthcare analytics.
• Experience working with healthcare claims and reimbursement methodologies.
• Knowledge of healthcare payment methodologies include: Fee-for-service, Capitation Reimbursement, Case Rates, Percent of billed charges, Medicare-based reimbursement, Value-based payment models.
• Advanced proficiency in Microsoft Excel, including Power Pivot, formulas, and financial modeling.
• Strong analytical and quantitative problem-solving skills.
• Attention to detail and ability to manage multiple priorities.
• Strong written and verbal communication skills and collaboration across teams.

Responsibilities

• Analyze provider reimbursement arrangements, fee schedules, and network pricing models.
• Develop and maintain pricing methodologies for professional, facility, ancillary, and value-based reimbursement arrangements.
• Perform financial modeling and impact analysis related to provider contracts and network initiatives.
• Validate pricing configurations and reimbursement logic within claims and contract management systems.
• Collaborate with clinical, contracting and provider relations teams to model proposed contract terms and rate changes.
• Develop recurring and ad hoc reports, dashboards, and presentations for leadership and business stakeholders.

Skills

Analytical experience in healthcare

Financial modeling

Advanced Excel (Power Pivot)

SQL

Tableau/Power BI

SAS

Python

Cross-functional collaboration

Communication skills

Education

Bachelor's degree in finance, Healthcare Administration, Economics, Statistics, Mathematics, Business Analytics, or related field

MHA or NPH degree

Tools

Contract modeling software

Claims systems

Job description

UnitedHealth Group is seeking a Healthcare Economics Consultant to support the development, analysis, and maintenance of provider reimbursement and network pricing strategies. You will analyze claims, contracts, and market trends to help ensure financially sustainable network arrangements.

The role offers remote work from anywhere in the U.S., with in-office requirement for Minneapolis or DC area four days a week. Strong Excel and analytical skills are essential for success.