Healthcare Network Pricing Consultant - Multiple Locations at United Health Group

Posted in Other 27 days ago.

Type: Full-time
Location: Cypress, California





Job Description:

There comes a point when you're ready to take off the training wheels and start guiding others. If that's where you are today, let's talk about where you can be tomorrow with our leading, global health care organization. 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 5 leader.

Eden Prairie, MN is the preferred location for this role. Other locations to be considered are Schaumburg, IL; Irvi ne, CA; Cypress, CA and Telecommute will be considered for the right candidate.

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.

Required Qualifications
  • Undergraduate degree or equivalent experience
  • 3+ years of analytical experience in financial analysis, health care pricing, network management, health care economics or related discipline
  • Advanced 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
  • 2+ years of demonstrated, hands-on experience with SQL to pull and manipulate data from structured databases.
  • 1+ years of experience creating compelling, clear, and persuasive data visualizations. Tableau experience preferred.
  • Expert level proficiency in MS Excel
Preferred Qualifications
  • Bachelor's preferred
  • 3+ years of experience with provider payment methodologies and healthcare products
  • Working knowledge of Python, R and Alteryx


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)

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.

Keywords: Financial modeling, Reporting, Financial analysis, Pricing, Network management, Health care economics, Medical coding, ICD10