Network Pricing Manager, IFP - Remote

Posted 3 Days Ago
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Hiring Remotely in Minnetonka, MN, USA
In-Office or Remote
92K-164K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Develops financial models, pricing analyses, reports, and dashboards supporting Individual and Family Plan network decisions. Partners with cross-functional stakeholders to evaluate provider payment methodologies, financial impacts, risks, and network pricing strategies. Leads analytical priorities, resolves complex issues, improves data quality and processes, maintains forecasting and pricing controls, and presents recommendations to business leaders. The role is fully remote within the United States.
Summary Generated by Built In
Requisition Number: 2394622
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.
The successful candidate will be responsible for developing, organizing, and producing analyses and reporting that will support the Individual and Family Plan (IFP) initiative. They will also discuss details and insight that follow from this material with internal stakeholders for further action as necessary. Through strategic partnership, this role will leverage internal and external assets to build and maintain actionable financial models to inform business decisions related to the long-term sustainability of IFP business.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Financial Modeling and Strategic Analysis:
  • Assist in maintaining and enhancing financial models supporting actuarial, financial, utilization, network design and pricing initiatives
  • Direct and prioritize recurring and ad hoc analytical work to meet business commitments
  • Guide cross-functional teams in resolving complex and non-standard analytical and operational issues
  • Critically evaluate information obtained from multiple sources and reconcile discrepancies
  • Ensure solid data and process transparency to support methodology integrity and delegation of tasks and responsibilities for department learning opportunities and growth

Business Partnership:
  • Demonstrate a supportive, customer service mindset
  • Present recommendations, risks and financial implications to business leaders and cross-functional stakeholders
  • Proactively anticipate and prioritize business needs and develop solutions to meet them
  • Effectively inform and persuade IFP network decisions with summarized analytics while providing supporting data to a variety of audiences
  • Ensure consistent network pricing methodologies and analytical standards across assigned markets

Innovation and Process Improvement:
  • Seek opportunities to improve processes and identify areas of improvement specifically related to data reliability, efficiency and quality (implement and scale best practices)
  • Assist in building, supporting, enhancing and maintaining reports, models and dashboards
  • Successfully deploy new processes, tools and models to advance modeling capabilities in a changing environment
  • Establish and monitor team quality-control standards to ensure the accuracy and integrity of forecasts, pricing models and reporting
  • Create and maintain applicable project documentation for assigned initiatives

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, health care pricing, network management, health care economics or related discipline
  • 6+ years of experience with provider payment methodologies and healthcare products
  • 6+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
  • Demonstrated progression of technical expertise related to acquisition of new tools and methodologies
  • Advanced level of proficiency in performing financial impact analysis, risk management and data manipulation
  • Advanced level of proficiency with Excel and PowerPoint
  • Proven excellent oral and written presentation skills, time/project management, problem solving and organization skills
  • Willing and able to work Central Standard Time Zone and Eastern Standard Time Zone hours

Preferred Qualifications:
  • Knowledge and Intermediate level of proficiency in PowerBI, SQL, Snowflake
  • Experience applying AI-enabled tools to improve analytical efficiency, automate work flows and support data-driven decision making.

*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 $91,700 - $163,700 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

Skills Required

  • 6+ years of analytical experience in financial analysis, healthcare pricing, network management, healthcare economics, or a related discipline
  • 6+ years of experience with provider payment methodologies and healthcare products
  • 6+ years of experience creating and using financial modeling tools, spreadsheets, and information acquisition tools
  • Demonstrated progression of technical expertise through acquisition of new tools and methodologies
  • Advanced proficiency in financial impact analysis, risk management, and data manipulation
  • Advanced proficiency with Excel and PowerPoint
  • Excellent oral and written presentation, time and project management, problem-solving, and organizational skills
  • Willingness and ability to work Central or Eastern Standard Time Zone hours
  • Intermediate proficiency with Power BI, SQL, and Snowflake
  • Experience applying AI-enabled tools to improve analytical efficiency, automate workflows, and support data-driven decision-making

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Leave & Time Off Breadth — PTO is generally described as decent or good, and many note it as a strong part of the package. Actual ability to take time off can depend on workload and team coverage.
  • Retirement Support — Offerings include a 401(k) with employer match and access to an employee stock purchase plan, which are highlighted as meaningful components of total rewards. These programs are consistently referenced among core benefits.
  • Parental & Family Support — Parental and caregiver leave, along with adoption assistance, are publicly highlighted and viewed as notable elements of the package. Availability can be role-specific, but these supports contribute to overall breadth where offered.

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
Metro Manila, Philippines
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