Senior Network Pricing Consultant, Missouri - Remote

UnitedHealthcare; St. Louis (MO); Remote; USD 120,000 - 170,000; Full time

Job summary

UnitedHealthcare is seeking a Senior Network Pricing Consultant in Missouri with a remote-friendly work policy. You will lead pricing analyses for provider networks, model unit costs and contracts to help ensure accurate, fair pricing across physicians, hospitals and ancillary facilities.

This role demands advanced financial analysis, proficiency in MS Excel, and collaboration with cross-functional teams to influence pricing strategy and drive value for the network.

Qualifications

• 5+ years of analytical experience in financial analysis, health care pricing, network management, healthcare economics or related discipline
• 5+ years of experience with provider payment methodologies and health care products
• 5+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
• Experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
• Expertise in financial impact analysis, risk management and data manipulation
• Expert level proficiency in MS Excel

Responsibilities

• Strategic leadership and innovation.
• Anticipate needs and develop innovative solutions.
• Contribute to business strategy development.
• Influence senior leadership to adopt new ideas, products, and approaches.
• Lead cross-functional and cross-segment teams.
• Serve as a trusted subject-matter expert.
• Provide leadership and mentorship to colleagues.
• Financial analysis and network pricing.
• Support provider network contracting and unit-cost management through pricing modeling and reporting.
• Conduct unit-cost and contract valuation analyses to support negotiations and management strategies.
• Manage unit-cost budgets, target setting and performance reporting.
• Develop innovative analytical approaches to improve pricing accuracy and business outcomes.
• Review the work of others and recommend improvements.

Skills

Analytical experience

Provider payment methods

Financial modeling tools

Interpreting modeling results

Financial impact analysis

MS Excel

Tools

MS Access

Medical coding

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Senior Network Pricing Consultant, Missouri - Remote (2394401)

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 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.

Can we all agree that the quality of health care is marching forward and upward with great momentum? Yes. But it's not just quality of care. The entire system is becoming more efficient and effective thanks to companies like UnitedHealth Group and people like you. Here's your opportunity to use your expertise in new ways as you strike the balance between health care costs and resources. Performing unit cost and contract valuation analysis, you'll ensure that healthcare 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 6 leader.

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

Primary Responsibilities:

• Strategic Leadership and Innovation
• Anticipate emerging customer needs and develop innovative solutions to address them
• Contribute to the development of business strategy
• Influence senior leadership to adopt new ideas, products, and approaches
• Lead cross-functional and cross-segment teams
• Serve as a trusted subject-matter expert
• Provide leadership and mentorship to colleagues
• Financial Analysis and Network Pricing
• Support and validate provider network contracting and unit cost management activities across physicians, hospitals, pharmacies, ancillary facilities, and other provider types through financial and network pricing modeling, analysis, and reporting
• Conduct unit cost and contract valuation analyses to support network contracting negotiations and unit cost management strategies
• Manage unit cost budgets, target setting, performance reporting, and related financial models
• Develop innovative analytical approaches to improve pricing accuracy and business outcomes
• Review the work of others and recommend improvements

This opportunity is all about complexity. You're expected to help accurately and effectively price the network. It's challenging because you need to be creative in the analytics behind the contract to utilize resources to build the data and price the network accurately.

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:

• 5+ years of analytical experience in financial analysis, health care pricing, network management, healthcare economics or related discipline
• 5+ years of experience with provider payment methodologies and health care products
• 5+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
• Experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
• Expertise in financial impact analysis, risk management and data manipulation
• Expert level proficiency in MS Excel

Preferred Qualifications:

• Experience with medical coding (CPT, ICD-9, ICD-10, etc.)
• Knowledge of MS Access

*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 are 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 $xx,xxx to $xx,xxx 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.