Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) This creative role offers an excellent opportunity to directly impact an innovative function and secure your future with an industry leader. The Senior Network Pricing Consultant supports and validates physician incentive / performance based contracting activities through financial and network pricing modeling, analysis, and reporting. In addition, this role will take on exciting project opportunities in support of department initiatives, primarily using report development and delivery expertise. Primary Responsibilities:Develop, monitor and evolve the payment incentive model Work independently and interact with external constituencies Provide data analysis, contract auditing and metrics reporting to management Perform reconciliations to determine if physicians have met contractual obligations Solve unique and complex problems with broad impact on the business Coordination and completion of projects across the various areas of the teamDevelop, monitor and maintain reporting for the team related to productivity, progress towards "best in class" (BIC) and other key initiativesWork within and outside the department to streamline and document processesDevelop tracking system for claim reimbursement liabilities outside of the claims processing systemEvaluate team work flows and create process and consistency among teamsAssist with developing training materials for the teamCoordinate team responses related to UCRT target setting, government programs reviews, National deals. Ideal location for this role is Shelton, CT. Other locations will be considered for strong candidates
Required Qualifications: 4+ years of analytical experience in financial analysis, healthcare pricing, network management, healthcare economics, or related discipline4+ years of experience with provider payment methodologies and healthcare productsAdvanced level of proficiency in performing financial impact analysis, risk management, and data manipulation4+ 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 forecasts3+ years project management experience Advanced level proficiency in MS Excel Preferred Qualifications:Experience with relational databases (Oracle, SQL Server, SAS)Strong written and verbal communication skillsProject experience with complex subject matter Undergraduate or higher level degree 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) 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: Healthcare Economics, Network Pricing, Medical Economics, Healthcare Analyst, Financial Analyst, Sales Contracts Analyst, Pricing Consultant, Reporting Expert, Excel, Shelton, CT,Hartford, CT, Trumbull, CT, Connecticut, Manhattan, NY, New York, Virginia, New Jersey .
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.