Sr. Director, Network Pricing - Remote

Posted Yesterday
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Hiring Remotely in Minnetonka, MN, USA
In-Office or Remote
159K-273K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Lead the Network Pricing IFP responsibilities, oversee analytical models, influence pricing strategies, and coordinate with teams to improve network economics and reduce care costs.
Summary Generated by Built In
Requisition Number: 2351488
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 to start Caring. Connecting. Growing together.
As the Individual and Family Plan (IFP) product continues to grow, we are looking for a leader to interact with senior leaders from IFP, Actuarial, UHN, and Network Pricing to drive optimal network economics. This leader will oversee all Network Pricing IFP responsibilities at a national level. The position will have one direct report with dotted line reporting to regional IFP Network Pricing teams and will require project management skills to coordinate analytics and communication across regions and departments.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Lead the creation, design, and maintenance of analytic models used by the regional IFP Network Pricing teams to evaluate financial impact of network economics for the IFP product across hospital, ancillary and physician provider types
  • Strategize on network configuration and price points by market and provider
  • Manage, support, measure and communicate IFP unit cost trend performance
  • Support network strategy development and tactical activity
  • Coordinate with trend analysis and healthcare economics areas to share relevant unit cost and Network Pricing information
  • Lead the development of strategic initiatives aimed at reducing the total cost of care
  • 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 unit cost on competitive positioning
  • Work with cross-functional teams across the organization to make strategic decisions supported by data

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:
  • College Degree (Business or Finance) or higher
  • 8+ years of analytical experience in financial analysis, health care pricing, network management, healthcare economics or related discipline
  • 8+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools to perform financial impact analytics and data manipulation
  • 3+ years of experience in a management position in healthcare pricing, network management, or related discipline
  • Proficiency in handling large data sets via SAS, SQL or other data analysis platforms
  • Advanced level proficiency in MS Excel
  • Proficient interpersonal, collaboration, negotiation, and communication skills
  • Proven ability to influence in a highly matrixed organization
  • Proven ability to produce superior results in a financial performance-oriented environment
  • Proven ability to use and support the use of financial modeling tools, spreadsheets, and information acquisition tools

Preferred Qualifications:
  • MBA or FSA
  • 5+ years of experience with provider payment methodologies
  • Solid understanding of healthcare data, trends, reserving, and reporting
  • Proven excellent financial analysis and risk management skills

*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 $159,300 to $273,200 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 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.
UnitedHealth Group is 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 is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Top Skills

Excel
SAS
SQL

What the Team is Saying

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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
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