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For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. 

Can we all can 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.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. El Segundo CA preferred.

Primary Responsibilities:

  • Predict emerging customer needs and develop innovative solutions to meet them
  • Participate in the development of business strategy
  • Influence senior leadership to adopt new ideas, products and/or approaches
  • Direct cross-functional and/or cross-segment teams
  • Conduct financial and network pricing modeling, analysis and reporting
  • Review work performed by others and recommend improvements

This opportunity is all about complexity. You’re expected to help accurately and effectively price the network. It’s challenging because you need to be creative in the analytics behind the contract in order to utilize resources to build the data and price the network accurately.

Position in this function supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, 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.

  • Reviews the work of others
  • Develops innovative approaches
  • Sought out as expert
  • Serves as a leader/ mentor

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.

Years of post-high school education can be substituted/is equivalent to years of experience.

Required Qualifications:

  • 8+ years of analytical experience in financial analysis, health care pricing, network management, healthcare economics or related discipline
  • 5+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools 
  • 5+ years of experience with provider payment methodologies and health care products
  • 1+ years of experience creating financial impact analysis, risk management and data manipulation
  • Experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
  • Expert level proficiency in MS Excel, Access, and SQL 

Preferred Qualification:

  • Experience with medical coding (CPT, ICD-9, ICD-10, etc.)

California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $85,000 to $167,300 per year. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

  • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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. 

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

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Confirmed 9 hours ago. Posted 30+ days ago.

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