The Associate Director of Healthcare Economics - Network Pricing supports Provider Network contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting (VBC agreements, physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.). This onsite/hybrid/telecommute position engages our West Region team conducting ACO support along with unit cost and contract valuation analysis related to provider negotiations and medical 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. as you take on some tough challenges.
Primary Responsibilities:- Develop and execute data management strategies with business partners in United Health Networks and United Health Clinical to help our contracted entities/internal partners be successful
- Provide consultative advice on use of data as subject matter expert and interpret/summarize analytical findings
- Collaborate with partners to identify, investigate, and communicate cost and utilization patterns for inefficiencies and potential opportunities in various member populations to help reduce overall total cost of care
- Solves complex problems and finds innovative sustainable solutions
- Influence pricing strategies and network configuration decisions using a data driven approach
- Evaluate financial impacts of network configurations across hospital, ancillary and physician provider types
- Work with cross-functional teams across the organization to make strategic decisions supported by data
- Serve as subject matter expert on data, reporting and methodologies supporting our contracts and relationships
- Resolve business problems and direct others to resolve business problems that affect multiple functions or disciplines
- Make decisions about product, service or process decisions that will impact multiple functions and/or customer accounts (internal or external)
This role will involve extensive external meetings, and some travel, to negotiate with providers, share performance results and explain complex financial models.
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:- 5+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools including experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
- 3+ years of healthcare managerial experience
- Moderate or higher level experience with SAS and SQL
- Proficiency in MS Excel
- Demonstrated career progression within healthcare economics, health care pricing, network management, or related discipline
- Well versed in PowerPoint
- Ability to travel 15% of the time within the West US Region
- Ability to work remotely or office-based focused on supporting West Region office locations (PST OR MST)
Preferred Qualifications:- 3+ years of experience working with large databases to produce a focused analysis with proficiency in SAS/SQL for data manipulation and reporting
- Experience with advanced statistical functions for financial modeling
- Successful leadership experience
- Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling
- Detailed knowledge of Commercial, Medicare, and Medicaid payment methodologies for hospital, ancillary, and physician services
- Expert level of proficiency in performing financial impact analysis, risk management, and claims data manipulation
- Moderate proficiency in Power BI, Tableau or other analytic visualization software
- Demonstrated advanced written and verbal communications skills including negotiation and presentation
*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 $112,700 - $193,200 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.
