UnitedHealth Group is hiring

Network Pricing Consultant - Telecommute job at UnitedHealth Group, San Antonio

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Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Provider networks across the health care system are becoming more efficient and effective everyday thanks to companies like UnitedHealth Group and people like you. Here's an opportunity to put your expertise to work in new ways as you help strike the balance between health care costs and resources. In this consultative role, you'll ensure that healthcare contracts are priced accurately and fairly for all involved. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 6 leader.

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

Primary Responsibilities:

  • Anticipate customer needs and proactively develop solutions to meet them
  • Support and validate provider network contracting and unit cost management
  • 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
  • Manage unit cost budgets, target setting, performance reporting and associated financial models
  • Review work performed by others and recommend improvements

In this role, it is all about creativity, challenge and complexity. You’ll be expected to help accurately and effectively price the network. It’s challenging because you need to be creative in your approach to the analytics behind the contract in order to properly utilize resources, 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, health care economics or related discipline
  • 3+ years of experience with provider payment methodologies and healthcare products
  • 2+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
  • Intermediate level of proficiency in performing 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

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut/Nevada residents is $72,800 to $129,900. 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 Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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.   


Job country: United States

City: San Antonio

Category: Business Operations Specialists, All Other

Location: San Antonio, TX, United States

Job posted 2022-06-04

This job is expired

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