Network Pricing Consultant- Cypress, CA at United Health Group

Posted in Other 27 days ago.

Type: Full-time
Location: Cypress, California





Job Description:
Can we all can 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.

Primary Responsibilities

  • Support and partner with CA Ancillary and Hospital Network teams in provider contract negotiations by providing financial analysis
  • Model ancillary provider contracts such as free-standing ASCs, dialysis, DME, Home health and home infusion, Rehab and Long term care centers etc.
  • Trend target setting and trend management
  • Identify savings opportunities; participate in the development of business strategy
  • Assess and interpret customer needs and requirements
  • Identify solutions to non-standard requests and problems
  • Solve complex problems and/or conduct complex financial analyses
  • Work with minimal guidance; seek guidance on only the most complex tasks
  • Translate concepts into practice
  • Provide explanations and information to others on difficult issues
  • Coach, provide feedback, and guide others
  • Act as a resource for others with less experience


Required Qualifications
  • Bachelor's degree in Finance, Math, Economics or Statistic
  • 5+ years of experience in financial analysis, network pricing, healthcare economics or related discipline
  • 1+ years of experience with provider payment methodologies and healthcare products
  • Intermediate level of proficiency in performing financial impact analysis, risk management and data manipulation
  • 2+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
  • Advanced level proficiency in MS Excel
  • Must live within a commutable distance of Cypress, CA and be willing and able to come into the office
Preferred Qualifications
  • Post graduate degree e.g. MBA
  • Exposure to California healthcare market
  • SAS / SQL programming experience
  • Ability to interpret and review financial modeling results to evaluate the financial impact of contract changes and develop forecasts/trend projections
  • Strong written and verbal communication skills, comfortable presenting to groups
  • Expertise in performing financial impact analysis, risk management and data manipulation



As we make our networks more efficient and effective, we make life better for millions. That's the opportunity with UnitedHealth Group. Join us. Learn more about how you can start doing your life's best work.(sm)

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

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 Keywords: financial analysis, network pricing, healthcare economics or related discipline, provider payment methodologies and healthcare products, performing financial impact analysis, risk management and data manipulation, creating and using financial modeling