Senior Network Pricing Consultant Telecommute

Unitedhealth Group Inc. Minnetonka , MN 55345

Posted 6 months ago

As the Senior Healthcare Economic Consultant you will support and validate provider network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting including value based contracting arrangements (i.e. Shared Savings, Risk Models, Accountable Care Organizations). This position will conduct analysis using large sets of utilization and cost data in support of on-going medical/cost trend identification. Meet and engage with internal and external partners to effectively communicate these findings and invoke action and track progress with our providers.

The position within HCE Network Pricing will interact frequently with United Health Networks, United Clinical Services, HCE Medical Informatics, Healthcare Providers, and others to support the analytic needs for executed agreements and negotiations in the Central Region.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Interpret and analyze financial and clinical data from various sources and recommend best approaches.

  • Provide claims, provider, and membership data in support of affordability, trend and utilization analyses.

  • Predict emerging customer needs and develop innovative solutions to meet them.

  • Research and investigate key business problems through quantitative analyses of healthcare utilization and cost data.

  • Develop and manage to business plans that include both clinical and financial objectives.

  • Translate highly complex concepts and conclusions in ways that can be understood by a variety of audiences.

  • Presentation of quarterly and annual financial performance and other work product to internal and external customers.

  • Resource to senior leadership.

  • Develop pioneering approaches to emerging industry trends.

Required Qualifications:

  • Bachelor's degree

  • 4 years of experience in a corporate setting

  • 5 year's proficiency in financial and / or clinical healthcare analytics with advanced knowledge of Medical claims detail.

  • At least an intermediate level of proficiency in MS Excel including formulas, calculations, charts, graphs, pivot functions

  • Strong written and verbal communication skills

  • Flexible in a fast paced environment

  • Must be self-motivated and detail-oriented

Preferred Qualifications:

  • At least an intermediate level of proficiency with SAS or SQL

  • Experience analyzing very large data sets

  • Healthcare industry experience

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)

  • All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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.

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

Job Keywords: SQL, SAS, financial, healthcare analytics, clinical, medical claims, healthcare industry, network pricing, Telecommute, Telecommuter, Work from home, remote


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Senior Network Pricing Consultant Telecommute

Unitedhealth Group Inc.