Senior Network Pricing Consultant, Missouri - Remote

Posted Yesterday
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Hiring Remotely in St. Louis, MO, USA
In-Office or Remote
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Leads healthcare network pricing and financial analysis, including provider contract valuation, unit cost modeling, budget management, forecasting, performance reporting, and negotiation support. Develops analytical approaches to improve pricing accuracy, evaluates financial impacts of contract changes, manages cross-functional initiatives, provides subject-matter expertise, reviews analyses, and mentors colleagues.
Summary Generated by Built In
Requisition Number: 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.

Skills Required

  • 5+ years of analytical experience in financial analysis, healthcare pricing, network management, healthcare economics, or a related discipline
  • 5+ years of experience with provider payment methodologies and healthcare products
  • 5+ years of experience creating and using financial modeling tools, spreadsheets, and information acquisition tools
  • Experience interpreting and reviewing financial modeling results to evaluate contract-change impacts and develop forecasts
  • Expertise in financial impact analysis, risk management, and data manipulation
  • Expert-level proficiency in Microsoft Excel
  • Experience with medical coding, including CPT, ICD-9, and ICD-10
  • Knowledge of Microsoft Access

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
Cebu, Philippines
Davao, Philippines
Ann Arbor, MI
Atlanta, GA
Baltimore, MD
Bengaluru, India
Chennai, India
Dallas, TX
Detroit, MI
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Hartford, CT
Houston, TX
Hyderabad, India
Jacksonville, FL
Las Vegas, NV
Letterkenny, Ireland
Louisville, KY
Madison, WI
Minneapolis, MN
Nashville, TN
New Delhi, India
Philadelphia, PA
Phoenix, AZ
Pune, India
Raleigh, NC
San Diego, CA
Washington, DC
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