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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.
Network Pricing Consultant - Remote (CT/ET preferred)
Location
Georgia
Posted
97 days ago
Salary
$72.8K - $130K / year
Seniority
Junior
Job Description
Network Pricing Consultant - Remote (CT/ET preferred)
Optum
Requisition Number: 2350084 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 The Network Pricing Consultant supports and validates Provider Network (physicians, hospitals, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Network Pricing Consultant conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Responsibilities also include managing unit cost budgets, target setting, performance reporting, and associated financial models. You'll enjoy the flexibility to work remotely* from anywhere within the U.S., preferably in CST or EST time zones, as you take on some tough challenges. Primary Responsibilities: - Lead the design and creation of analytic models to evaluate financial impact of business strategies - Lead the development of strategic initiatives aimed at reducing the total cost of care - Lead projects to completion by contributing to database creation, statistical modeling and financial reports - 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 - Evaluate financial impacts of network configurations across hospital, ancillary and physician provider types - Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies - Analyze and summarize broad impact of changes in network configurations to premium price differentials - Work with cross-functional teams across the organization to make strategic decisions supported by data - Review work performed by others and recommend improvements 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: - Bachelor's degree in business, economics, statistics, mathematics, or a related degree - 2+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools to perform financial impact analytics and data manipulation - 1+ years of analytical experience in financial analysis, health care pricing, network management, healthcare economics or related discipline - Advanced level proficiency with MS Excel - Willing and able to work Eastern Standard Time Zone hours Preferred Qualifications: - 3+ years of experience working with large databases to produce a focused analysis for data manipulation and reporting - 1+ years of experience with provider payment methodologies and healthcare products - 1+ years of hospital, ancillary, and physician modeling experience - Experience with medical coding (CPT, DRG, ICD-9, ICD-10, etc.) - Proven excellent written and verbal communication, time/project management, problem solving, and organization 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 $72,800 to $130,000 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.
Benefits
- 401(K), Dental insurance, Disability insurance, Employee stock purchase plan, Family medical leave, Flexible Spending Account (FSA), Generous parental leave, Generous PTO, Health insurance, Job training & conferences, Life insurance, Charitable contribution matching, Paid holidays, Paid sick days, Performance bonus, Tuition reimbursement, Vision insurance, Mental health benefits, Personal development training, Bereavement leave benefits
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