Network Pricing Consultant – Telecommute

UnitedHealth Group
December 30, 2021
Houston, TX
Job Type


UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

This position supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting. Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies.  Manages unit cost budgets, target setting, performance reporting, and associated financial models.

This position will primarily support the Northern California market. This position is based in the Cypress or San Francisco Office. Telecommute arrangement can be considered based on work experience.

Challenge can often be its own reward.  But why settle for just being challenged when you can also be nurtured, mentored and supported in building an impact and fast paced career?  With UnitedHealth Group you can have all of the above, every day. Here's your opportunity to combine expertise and compassion in new ways as you strike the balance between health care costs and resources. In this senior role, you'll ensure that health care 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 5 leader.

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

Primary Responsibilities:

  • Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers
  • Analyze financial impact of provider contracts (e.g., facility; physician; ancillary)
  • Analyze financial impact of corporate initiatives (e.g., policy changes; healthcare affordability) or external regulations (e.g., healthcare reform)
  • Analyze payment appendices to provide options for various contracting approaches and methodologies
  • Communicate results of financial impact and analysis to appropriate stakeholder groups (e.g., Network Management; Network Pricing leadership)
  • 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 
  • Influence pricing strategies and rate development by highlighting opportunities for improvement or protecting favorable rate structures
  • Strategize rates or contract methodology with network management to create optimal contract
  • Review competitive analysis to identify appropriate pricing rate for provider

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:

  • Undergraduate degree
  • 4+ years of analytical experience in financial analysis, healthcare pricing, network pricing, healthcare economics or related discipline
  • 2+ years of experience with provider payment methodologies and healthcare products
  • Presentation experience to internal or external stakeholders or customers
  • Intermediate ability to interpret and review financial modeling results to evaluate the financial impact of contract changes and develop forecasts
  • Advanced financial impact analysis, risk management, and data manipulation skills
  • Advanced level of proficiency in MS Excel
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

Preferred Qualifications:

  • Postgraduate degree in Math, Statistics, Finance, Economics or Actuarial Science
  • Experience in MS Access, SAS and/or SQL
  • Experience with advanced statistical functions for financial modeling 
  • Experience with medical coding (CPT, MSDRG, REV, ICD-10, etc.) 
  • Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling
  • Excellent interpersonal, collaboration, negotiation and communication skills
  • Ability to manage multiple projects simultaneously and meet deliverable deadlines
  • Ability to research and solve problems independently

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination 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 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)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $64,800 to $116,000. The salary range for Connecticut / Nevada residents is $71,400 to $127,400. 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 Keywords: Network Pricing Consultant, Network Pricing, Consultant, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote

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