Healthcare Economics Consultant - Remote
Company: UnitedHealth Group
Location: Nashville
Posted on: June 1, 2025
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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.
The successful candidate 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. They will also conduct unit cost and
contract valuation analysis in support of network contracting
negotiations and unit cost management strategies. Other duties
include managing unit cost budgets, target setting, performance
reporting, and being responsible for related financial models.
This position will primarily support the Southeast Region markets
and is likely to be a telecommute arrangement.
Challenge can often be its own reward. But why settle for just
being challenged when you can also be nurtured, mentored, and
supported in building an impact and fast paced career? With
UnitedHealth Group you can have all of the above, every day. Here's
your opportunity to combine expertise and compassion in new ways as
you strike the balance between health care costs and resources. In
this role, you'll ensure that health care 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.
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 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)
Effectively summarize information while providing supporting data
to a variety of audiences
Conduct financial and network pricing modeling, analysis and
reporting
Peer review the analytical models of others
Perform unit cost and contract valuation analysis in support of
network contracting negotiations and unit cost management
strategies
Influence pricing strategies and rate development by highlighting
opportunities for improvement or protecting favorable rate
structures
Strategize with network management to create optimal contracts
Review competitive analysis to identify appropriate pricing rates
for providers
Perform various ad hoc projects in a timely and accurate manner
Demonstrate a customer service mindset
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:
4+ years of analytical experience in financial analysis, healthcare
pricing, network pricing, healthcare economics or related
discipline
Presentation experience to internal or external stakeholders or
customers
Familiarity with interpreting and reviewing financial modeling
results to evaluate the financial impact of contract changes and
developing forecasts
Advanced level of proficiency in Microsoft Excel
Proven ability to manage multiple projects simultaneously and meet
deliverable deadlines
Proven ability to research and solve problems independently
Proven excellent financial impact analysis, risk management, and
data manipulation skills
Proven excellent interpersonal, collaboration, negotiation, and
communication skills
Preferred Qualifications:
3+ years of experience with provider payment methodologies and
healthcare products
Experience with MS Access, SAS and/or SQL
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
The salary range for this role is $71,600 to $140,600 annually
based on full-time employment. Pay is based on several factors
including but not limited to local labor markets, education, work
experience, certifications, etc. UnitedHealth Group complies with
all minimum wage laws as applicable. 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.
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.
Keywords: UnitedHealth Group, Bowling Green , Healthcare Economics Consultant - Remote, Healthcare , Nashville, Kentucky
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