UnitedHealth Group

Senior Network Pricing Consultant - Remote

UnitedHealth Group$91K — $163K *
US-AnywhereRemote in Richardson, TX
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent relevant work experience
  • 5+ years of experience in healthcare pricing, financial analysis, network pricing, or healthcare economics
  • 5+ years of analytical experience
  • 3+ years of experience with hospital payment methodologies and healthcare products
  • Proven advanced Excel skills for analyzing complex datasets efficiently
  • Strong communication skills with experience presenting analytical findings to stakeholders
  • Ability to research and solve problems independently

Responsibilities

  • Support network pricing strategies and tactics with local leaders
  • Analyze financial implications of provider contracts
  • Evaluate reimbursement strategies across various provider types
  • Communicate financial findings and insights to stakeholders
  • Conduct financial and network pricing modeling and reporting
  • Lead large analytical projects to support business goals
  • Evaluate competitive analyses to guide provider pricing

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase options
  • 401k contribution with employer match
  • Flexible work environment adhering to telecommuting policies
Full Job Description


Primary Responsibilities:

  • Support network pricing strategies and tactics in collaboration with local network field leaders and network managers
  • Analyze financial impact of provider contracts
  • Perform complex financial and pricing analyses to evaluate reimbursement strategies and network configurations across hospital, ancillary, and physician provider types
  • Evaluate financial impact of corporate initiatives and external regulations
  • Review payment appendices and develop options for various contracting approaches and methodologies
  • Communicate financial impact findings and insights to stakeholder groups
  • Conduct financial and network pricing modeling, analysis, and reporting
  • Provide mentorship and engage in detailed peer review activities
  • Perform unit cost and contract valuation analysis to support network contracting and unit cost management strategies
  • Lead large and complex analytical projects to support key business objectives
  • Influence pricing strategies and rate development by identifying opportunities or safeguarding favorable structures
  • Collaborate with Network Management to strategize rates or contract methodologies
  • Review competitive analysis to determine appropriate provider pricing


You9ll 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:

  • Bachelor9s degree or equivalent relevant work experience
  • 5+ years of experience in healthcare pricing, financial analysis, network pricing, or healthcare economics
  • 5+ years of analytical experience
  • 3+ years of experience with hospital payment methodologies and healthcare products
  • Experience developing and interpreting financial and pricing models to support contract valuation and network strategy
  • Proven advanced Excel skills with demonstrated ability to analyze large, complex datasets efficiently
  • Proven solid communication skills with experience presenting complex analytical findings to stakeholders
  • Proven ability to manage multiple priorities and deliver results in a fast paced environment
  • Proven ability to research and solve problems independently
  • Proven ability to work Central or Eastern Time Zone hours


Preferred Qualifications:

  • Experience with provider payment methodologies, including physician, hospital, and ancillary reimbursement
  • Experience with HPM (Hospital Pricing Model)
  • Experience leveraging enterprise approved automation or AI tools to improve efficiency in analytical workflows
  • Knowledge of commercial, Medicare, and Medicaid PPO/HMO revenue and expense patterns
  • Knowledge of Out of Network pricing, surprise billing regulations, and medical coding (e.g., CPT, DRG, ICD 10)
  • Proficiency with advanced data modeling tools (e.g., Power Pivot, data models, large databases)
  • Proven solid consultative, problem solving, and cross functional collaboration skills


*All employees working remotely will be required to adhere to UnitedHealth Group9s 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, you9ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 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.

About UnitedHealth Group

UnitedHealth Group is a medical facility. They offer health technology, health finance, and pharmacy services. They are utilizing clinical data and intelligence to assist in the redesign, automation, and deployment of technology to streamline administrative operations and clinical decision-making. Payment systems for both consumers and providers are critical components of a health-care system.

UnitedHealth Group Careers

Joining UnitedHealth Group means becoming part of a diverse team dedicated to making a difference. As a leader in health services and innovation, our company offers a variety of job opportunities that allow professionals to leverage their skills, drive innovation, and improve lives. Work You’ll Do At UnitedHealth Group, you’ll contribute to a mission-focused environment where your expertise will influence the health and well-being of people worldwide. Our employment opportunities span across a wide range of disciplines, from healthcare specialists to data analysts, ensuring that your career journey is both dynamic and rewarding. Transform Healthcare with Your Expertise UnitedHealth Group stands at the forefront of health innovation. Our team collaborates to deliver solutions that lead to better patient outcomes. Working with us, you’ll find yourself at the intersection of technology, healthcare, and leadership, providing key insights that drive industry transformation. Join Our Global Team As part of our team, you’ll engage with over 300,000 professionals globally, dedicated to building a diverse and inclusive workplace. UnitedHealth Group is not just a company; it’s a community where you can grow your career through continuous learning and leadership opportunities. Our commitment to diversity training ensures that every team member can thrive. UnitedHealth Group Career Development We are committed to your professional growth. Explore career paths filled with promising job opportunities and internships that will harness your potential and expand your capabilities. Whether you’re a seasoned professional or a recent graduate, you’ll find that our career development programs support your ambition at every level. Innovative Work Environment At UnitedHealth Group, innovation is at the core of our operations. We encourage our team to bring forward-thinking ideas that challenge the status quo and lead to breakthrough improvements in patient care. Be Part of a Great Team Our culture fosters a collaborative and supportive environment where every member’s contribution is valued. Enjoy the benefits of being part of a global team that’s committed to making a difference in people’s lives. Future-Proof Your Career With UnitedHealth Group, your career is future-proof. Dive into a range of positions that offer both challenges and rewards. Our robust support system includes unmatched training, development programs, and certification support to propel your career forward. Stay Connected Join Our Team Discover the right position that matches your skills and interests. We are always hiring and look for passionate, curious, and solution-driven team players. Search UnitedHealth Group jobs today and take the first step towards a fulfilling career. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can use today—all from the people who work here. Read Careers Blog Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UnitedHealth Group.
Learn more about UnitedHealth Group
Size
350,000 employees
Market Cap
$493.1 billion
Industry
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ

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