Talent.com
Manager Network Pricing - Remote in Cypress, CA
Manager Network Pricing - Remote in Cypress, CAUnitedHealth Group • Cypress, California, United States
Manager Network Pricing - Remote in Cypress, CA

Manager Network Pricing - Remote in Cypress, CA

UnitedHealth Group • Cypress, California, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters.remote
job_description.job_card.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 excellent communication skills, both written and verbal
  • Proven ability to manage multiple projects simultaneously and meet deliverable deadlines
  • Proven ability 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.

    serp_jobs.job_alerts.create_a_job

    Pricing Manager • Cypress, California, United States

    Job_description.internal_linking.related_jobs
    Network Engineer III

    Network Engineer III

    Savage Arms, (Canada) Inc. • Irvine, CA, US
    serp_jobs.job_card.full_time
    Revelyst is a collective of world-class maker brands that design and manufacture performance gear and precision technologies. Our category-defining brands leverage meticulous craftsmanship and cross...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Product Manager - Network Applications

    Product Manager - Network Applications

    TP-Link Systems Inc. • Irvine, CA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    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 a comm...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Manager, Endeavor Analytics

    Manager, Endeavor Analytics

    WME • Los Angeles, CA, US
    serp_jobs.job_card.full_time
    Manager Position For Wme Insights.This Manager position for WME Insights will be based out of Los Angeles and responsible for managing the analysts and senior analysts within WME Insights.This team...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Cloud Network Engineer (LANES)

    Cloud Network Engineer (LANES)

    Heluna Health • Los Angeles, CA, US
    serp_jobs.job_card.full_time
    Cloud Network Engineer (LANES).Cloud Network Engineer (LANES).Get AI-powered advice on this job and more exclusive features. We have a diverse team of healthcare IT experts devoted to solving real-w...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Network Engineer

    Network Engineer

    Hermeus • Los Angeles, California, United States, 90001
    serp_jobs.job_card.permanent
    Hermeus is a high-speed aircraft manufacturer focused on the rapid design, build, and test of high-Mach and hypersonic aircraft for the national interest. Working directly with the Department of Def...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Network Engineer, Consultant

    Network Engineer, Consultant

    Jobs via Dice • Los Angeles, CA, US
    serp_jobs.job_card.temporary
    Strong hands-on experience with Cisco switch configuration, wireless LAN, network IP addressing, and first-hand config build and verification. This is a local to Los Angeles (hybrid schedule) contra...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Provider Network Manager

    Provider Network Manager

    Verda Healthcare Inc • Huntington Beach, CA, US
    serp_jobs.job_card.full_time
    Center of Medicaid and Medicare Services (CMS) and a state license with the Texas Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan. We are committed to the idea that he...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    10538 – Manager, Network (Network Service Manager)

    10538 – Manager, Network (Network Service Manager)

    Hyundai Autoever America • Irvine, CA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Manager, Network Location – Irvine, CA, 5 days onsite Company Overview Hyundai AutoEver America is pioneering the future of mobility by integrating cloud-based service in...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Manager, Endeavor Analytics

    Manager, Endeavor Analytics

    Endeavor • Los Angeles, CA, US
    serp_jobs.job_card.full_time
    Manager Position For Wme Insights.This Manager position for WME Insights will be based out of Los Angeles and responsible for managing the analysts and senior analysts within WME Insights.This team...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Manager, Provider Contracting Network Management - Glendale, CA

    Manager, Provider Contracting Network Management - Glendale, CA

    Cigna • Glendale, CA, US
    serp_jobs.job_card.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...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Network Engineer II

    Network Engineer II

    Panda Restaurant Group • Rosemead, CA, US
    serp_jobs.job_card.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 ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Fortigate Experienced - Network Engineer

    Fortigate Experienced - Network Engineer

    V-Soft Consulting Group, Inc. • Irvine, CA, US
    serp_jobs.job_card.full_time
    Fortigate Experienced - Network Engineer.Get AI-powered advice on this job and more exclusive features.V-Soft Consulting is currently hiring for a. Fortigate Experienced - Network Engineer.Network e...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Network Manager / Architect

    Network Manager / Architect

    Diligent Tec Inc • Santa Ana, CA, California, USA
    serp_jobs.job_card.full_time
    serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Manager Telecom

    Manager Telecom

    VCI Construction • Long Beach, CA, US
    serp_jobs.job_card.full_time
    Discover a more connected career.Connecting You To Great Benefits.Paid Time Off, Parental Leave, and Holidays.Insurance (including medical, prescription drug, dental, vision, disability, life insur...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Linehaul Network Planning

    Linehaul Network Planning

    SwiftX Inc. • Ontario, CA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    We are hiring a highly strategic and execution-oriented.This role is responsible for ensuring that packages are moved efficiently and on time between our distribution hubs, enabling seamless handof...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Senior Network Engineer

    Senior Network Engineer

    TEKsystems • Anaheim, CA, United States
    serp_jobs.job_card.full_time
    Acts as a resource for the Vice President of IT Operations to facilitate the design and implementation of networks, security and telecommunications systems. Design, modifies, configures, tests and i...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Senior Engineering Manager (Network)

    Senior Engineering Manager (Network)

    Clearance Jobs • Los Angeles, CA, US
    serp_jobs.job_card.full_time
    Working across the globe, V2X builds smart solutions designed to integrate physical and digital infrastructure from base to battlefield. We bring 120 years of successful mission support to improve s...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Venue Network Manager

    Venue Network Manager

    TEKsystems • Los Angeles, CA, United States
    serp_jobs.job_card.full_time
    Description (NO REMOTE FLEXIBILITY) •.The Venue Network Manager will serve as the venue's resident expert, maintains a complete working knowledge of all technologies deployed, and leads rapid troubl...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Automotive Network & Impact Chain Expert for Electric Architecture

    Automotive Network & Impact Chain Expert for Electric Architecture

    Dr. Ing. h.c. F. Porsche AG • Carson, CA, US
    serp_jobs.job_card.full_time
    We are looking for an experienced Automotive Network and Impact Chain Expert to lead the development and optimization of network communication systems within future electric architectures.The ideal...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Delivery Network Manager

    Delivery Network Manager

    SwiftX Inc. • Ontario, CA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    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...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days