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Network security • anaheim ca
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Network Pricing Consultant - Remote
UnitedHealth GroupCypress, CA, US- serp_jobs.job_card.promoted
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UnitedHealth GroupCypress, CA, US- serp_jobs.job_card.full_time
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Join UnitedHealth Group
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 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 5 leader.
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.
You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
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
- Lead large, complex projects to achieve key business objectives
- 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 :
Preferred Qualifications :
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). The salary for this role will range from $71,200 to $127,200 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.