Talent.com
No longer accepting applications
Manager Network Pricing - Remote in Cypress, CA

Manager Network Pricing - Remote in Cypress, CA

UnitedHealth GroupCypress, CA, United States
30+ days ago
Job type
  • Full-time
  • Remote
Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Can we all agree that the quality of health care is marching forward and upward with great momentum? Yes. But it's not just quality of care. The entire system is becoming more efficient and effective thanks to companies like UnitedHealth Group and people like you. Here's your opportunity to use your expertise in new ways as you strike the balance between health care costs and resources. Performing unit cost and contract valuation analysis, you'll ensure that healthcare contracts are priced accurately and fairly for all involved. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader.

This position supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, shared / full risk delegation, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, 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.

This position will primarily support Southern California. This position is based in Cypress, CA but remote arrangement will be considered based on work experience.

You'll enjoy the flexibility to work remotely

  • from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities :

  • Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers
  • Analyze financial impact of provider contracts (e.g., facility; physician; ancillary)
  • Analyze financial impact of corporate initiatives (e.g., policy changes; healthcare affordability) or external regulations (e.g., healthcare reform)
  • Analyze payment appendices to provide options for various contracting approaches and methodologies
  • Communicate results of financial impact and analysis to appropriate stakeholder groups (e.g., Network Management; Network Pricing leadership)
  • Conduct financial and network pricing modeling, analysis and reporting
  • Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
  • Lead large, complex projects to achieve key business objectives
  • Influence pricing strategies and rate development by highlighting opportunities for improvement or protecting favorable rate structures
  • Strategize rates or contract methodology with network management to create optimal contract
  • Review competitive analysis to identify appropriate pricing rate for provider
  • 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 :

  • 8+ years of analytical experience in financial analysis, healthcare pricing, network pricing, healthcare economics or related discipline
  • 5+ years of experience with provider payment methodologies and healthcare products
  • 5+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
  • Experience with provider capitation, both diagnostic risk-adjustment and age / sex adjusted rate banding
  • Experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
  • Presentation experience to internal or external stakeholders or customers
  • Expertise in financial impact analysis, risk management and data manipulation
  • Expert level proficiency in MS Excel
  • Proven solid interpersonal, collaboration, negotiation and communication skills
  • Proven e xcellent communication skills, both written and verbal
  • Proven a bility to manage multiple projects simultaneously and meet deliverable deadlines
  • Proven a bility to research and solve problems independently
  • Preferred Qualifications :

  • Experience in MS Access, SAS, SQL, R, or Python
  • Experience with advanced statistical functions for financial modeling
  • Experience with medical coding (CPT, MSDRG, REV, ICD-10, etc.)
  • Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling
  • 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 $89,900 to $160,600 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.

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

    Create a job alert for this search

    Pricing Manager • Cypress, CA, United States

    Related jobs
    • Promoted
    Product Manager - Network Applications

    Product Manager - Network Applications

    TP-Link Systems Inc.Irvine, CA, US
    Full-time
    Headquartered in the United States, TP-Link Systems Inc.The company is committed to delivering innovative products that enhance people’s lives through faster, more reliable connectivity.With ...Show moreLast updated: 30+ days ago
    Senior Network Engineer II

    Senior Network Engineer II

    Panda Restaurant GroupRosemead, CA, US
    Full-time +1
    The Senior Network Engineer position is responsible for ensuring the network is operating optimally so associates can always access the network with sufficient speed and capacity.This position conf...Show moreLast updated: 30+ days ago
    • Promoted
    Sr. Product Manager - Network Applications

    Sr. Product Manager - Network Applications

    TP-Link Systems Inc.Irvine, CA, US
    Full-time
    Headquartered in the United States, TP-Link Systems Inc.The company is committed to delivering innovative products that enhance people’s lives through faster, more reliable connectivity.With ...Show moreLast updated: 30+ days ago
    • Promoted
    Flexible schedule - Earn at least $1450 by driving 135 trips with Uber

    Flexible schedule - Earn at least $1450 by driving 135 trips with Uber

    UberDana Point, CA, United States
    Full-time +1
    Earn at least $1450 driving with Uber when you complete your first 135 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 5 days ago
    • Promoted
    Drive with Uber : Earn at least $1450 when you complete 135 trips.

    Drive with Uber : Earn at least $1450 when you complete 135 trips.

    UberDana Point, CA, United States
    Full-time +1
    Earn at least $1450 driving with Uber when you complete your first 135 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 5 days ago
    • Promoted
    10538 - Manager, Network (Network Service Manager)

    10538 - Manager, Network (Network Service Manager)

    Hyundai Autoever AmericaIrvine, CA, US
    Full-time
    Location – Irvine, CA, 5 days onsite.In a rapidly evolving automotive OS landscape, we are setting global standards and driving innovation across the mobility ecosystem.As a global leader in ...Show moreLast updated: 30+ days ago
    • Promoted
    Sr Network Contract Manager - Remote

    Sr Network Contract Manager - Remote

    UnitedHealth GroupEl Segundo, CA, US
    Remote
    Full-time
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...Show moreLast updated: 19 days ago
    • Promoted
    • New!
    Analytics Manager (Remote)

    Analytics Manager (Remote)

    ExperianCosta Mesa, CA, US
    Remote
    Full-time
    Experian is a global data and technology company, powering opportunities for people and businesses around the world.We help to redefine lending practices, uncover and prevent fraud, simplify health...Show moreLast updated: 4 hours ago
    • Promoted
    Driver gig - Earn at least $1450 by driving 135 trips with Uber

    Driver gig - Earn at least $1450 by driving 135 trips with Uber

    UberDana Point, CA, United States
    Full-time +1
    Earn at least $1450 driving with Uber when you complete your first 135 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 5 days ago
    • Promoted
    Sourcing Manager - Boots

    Sourcing Manager - Boots

    The People BrandIrvine, CA, US
    Full-time
    This role is responsible for executing global strategic sourcing strategies, as well as driving product vision to commercialization. Sourcing is accountable to successfully implement our brand portf...Show moreLast updated: 27 days ago
    Network Engineer II

    Network Engineer II

    Panda Restaurant GroupRosemead, CA, US
    Full-time +1
    The Network Engineer II is responsible for supporting and maintaining the infrastructure of all Panda restaurant level networks, including WAN, LAN, WIFI, and VPN, as well as implementation of new ...Show moreLast updated: 30+ days ago
    10538 – Manager, Network (Network Service Manager)

    10538 – Manager, Network (Network Service Manager)

    Hyundai Autoever AmericaIrvine, CA, US
    Full-time
    Quick Apply
    Manager, Network Location – Irvine, CA, 5 days onsite PURPOSE : .The Network Services Manager is responsible for providing leadership to HCA's IT Network Services team with the goal of providin...Show moreLast updated: 30+ days ago
    • Promoted
    Delivery Network Management Manager

    Delivery Network Management Manager

    SwiftX Inc.Ontario, CA, US
    Full-time
    SwiftX is dedicated to providing high-quality, local U.Our leadership team comes from leading Chinese tech companies and global international logistics firms, bringing together exceptional expertis...Show moreLast updated: 2 days ago
    • Promoted
    Drive with Uber - Earn at least $1450 in your first 135 trips with Uber.

    Drive with Uber - Earn at least $1450 in your first 135 trips with Uber.

    UberDana Point, CA, United States
    Full-time +1
    Earn at least $1450 driving with Uber when you complete your first 135 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 5 days ago
    • Promoted
    Manager, Provider Contracting Network Management - Glendale, CA

    Manager, Provider Contracting Network Management - Glendale, CA

    CignaGlendale, CA, US
    Full-time
    Manager, Provider Contracting Network Management.Work location : Position supports our Glendale, CA market.Must live in the Glendale / Los Angeles, CA area. The Manager, Provider Contracting Network Ma...Show moreLast updated: 30+ days ago
    • Promoted
    Network Modernization QA / QC Manager

    Network Modernization QA / QC Manager

    NTT DATALos Angeles, CA, United States
    Full-time
    NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us.If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now....Show moreLast updated: 3 days ago
    Network Manager / Architect

    Network Manager / Architect

    Diligent Tec IncSanta Ana, CA, California, USA
    Full-time
    Show moreLast updated: 30+ days ago
    • Promoted
    Manager Network Pricing - Remote

    Manager Network Pricing - Remote

    UnitedHealth GroupCypress, CA, US
    Remote
    Full-time
    At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people f...Show moreLast updated: 30+ days ago
    • Promoted
    Earn At Least $1450 For Your First 135 Trips, Guaranteed.

    Earn At Least $1450 For Your First 135 Trips, Guaranteed.

    UberDana Point, CA, United States
    Full-time +1
    Earn at least $1450 driving with Uber when you complete your first 135 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 5 days ago
    • Promoted
    Side gig : Earn at least $1450 in your first 135 trips driving, guaranteed.

    Side gig : Earn at least $1450 in your first 135 trips driving, guaranteed.

    UberDana Point, CA, United States
    Full-time +1
    Earn at least $1450 driving with Uber when you complete your first 135 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 5 days ago