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UnitedHealth Group Sr. Network Pricing Consultant - Remote in Des Moines, Iowa

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

What makes your career greater with UnitedHealth Group? Growth opportunities among the variety of product lines and making an impact on the healthcare system ensures it will always be challenging and exciting.

The Sr. Network Pricing Consultant supports and validates Provider Network (physicians, hospitals, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Network Pricing Consultants conduct unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Responsibilities also include managing unit cost budgets, target setting, performance reporting, and associated financial models.

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

Primary Responsibilities:

  • 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 projects to completion by contributing to database creation, statistical modeling and financial reports

  • Concisely summarize and communicate the results of complex analytics

  • Influence pricing strategies and network configuration decisions using a data driven approach

  • Provide consultative advice on use of data as subject matter expert and interpret / summarize analytical findings

  • Analyze and summarize broad impact of changes in network configurations to premium price differentials

  • Work with cross-functional teams across the organization to make strategic decisions supported by data

  • Anticipate customer needs and proactively develop solutions to meet them

  • Lead the design and creation of analytic models to evaluate financial impact of business strategies

  • Lead the development of strategic initiatives aimed at reducing the total cost of care

  • May lead functional or segment teams or projects

  • Motivate and inspire other team members

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, healthcare pricing, network management, healthcare economics, or related discipline

  • 3+ years of experience with provider payment methodologies

  • 3+ 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

  • Intermediate level of proficiency in performing financial impact analysis, risk management, and data manipulation

  • Advanced level proficiency in MS Excel (specifically pivot tables and v-lookups)

Preferred Qualifications:

  • Advanced - Expert level proficiency in MS Excel

  • Demonstrated proficiency and strength in written and verbal communication

California, Colorado, Connecticut , Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.

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.

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