1+ months

Network Pricing Consultant - Telecommute in RI, CT or East Coast - 933388

Warwick, RI 02886 Work Remotely
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  • Job Code
    933388

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)

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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.

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Supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, 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.

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If you are located in RI, CT, or East Coast, you will have the flexibility to telecommute* as you take on some tough challenges.

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Primary Responsibilities:

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  • Anticipate customer needs and proactively develop solutions to meet them
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  • Support and validate provider network contracting and unit cost management
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  • Conduct financial and network pricing modeling, analysis, and reporting
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  • Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
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  • Manage unit cost budgets, target setting, performance reporting and associated financial models
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  • Review work performed by others and recommend improvements
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  • Reviews the work of others
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  • Develops innovative approaches
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  • Sought out as expert
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  • Serves as a leader / mentor
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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.

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Youll 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.

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Required Qualifications:

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  • Undergraduate degree or equivalent experience
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  • 5+ years of analytical experience in financial analysis, health care pricing, network management, health care economics or related discipline
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  • 3+ years of experience with provider payment methodologies and healthcare products
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  • 2+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools
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  • Intermediate level of proficiency in performing financial impact analysis, risk management and data manipulation
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  • Expert level proficiency in MS Excel
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Preferred Qualifications:

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  • Experience with medical coding (CPT, ICD - 9, ICD - 10, etc.)
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  • Knowledge of MS Access
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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)

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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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.

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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job keywords: Network Pricing Consultant, Network Pricing, Modeling, Pricing, Analytics. Hospital and Physician Pricing Models, Reimbursement Methodologies, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH, Warwick, RI, Rhode Island, Hartford, CT, Connecticut, East Coast

Posted: 2021-06-30 Expires: 2021-08-28

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Network Pricing Consultant - Telecommute in RI, CT or East Coast - 933388

UnitedHealth Group
Warwick, RI 02886

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