UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description
UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare, what you do matters. It's that simple...and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
The Senior Network Pricing Consultant:
- Supports and validates Provider Network (physicians, hospitals, and ancillary facilities) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Network includes Commercial, Medicare, and Medicaid products.
- 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.
Your primary responsibilities would include:
- Modeling provider contracts for Commercial, Medicare, and Medicaid products
- Working with internal contracting staff
- Analyzing and modeling unit cost increases
- Analyzing the impact of updating contracts
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.
Qualifications
Requirements
· Experience in healthcare pricing analysis required.
· Knowledge of DRG, APC, Revenue, CPT, and Diagnosis Codes required. AHCCCS Reimbursement knowledge preferred.
· Ability to effectively communicate and articulate intricate financial strategies with various levels of management.
· In depth knowledge of provider payment methodologies and healthcare products.
· Prior experience in hospital and physician group modeling a plus.
· Demonstrated expert-level Excel spreadsheet capability (formula-writing) and Access Database skills. Intermediate SQL skills required.
· Bachelor's degree or 5+ years industry/pricing experience required. MBA preferred.
· Ability to interpret and review financial modeling results to evaluate the financial impact of contract changes and develop forecasts.
· Strong analytical and detailed orientated background.
· Ability to be flexible and work under tight deadlines.
· Strong written and verbal communication skills.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
