Network Pricing Manager, Individual and Family Plan

Title: Network Pricing Manager, IFP - Remote

Location: Minnetonka United States

Requisition number: 239462

Job category: Network Contracting & Pricing

Overtime status: Exempt

Travel: No

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 optimized. Ready to make a difference? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

The successful candidate will be responsible for developing, organizing, and producing analyses and reporting that will support the Individual and Family Plan (IFP) initiative. They will also discuss details and insight that follow from this material with internal stakeholders for further action as necessary. Through strategic partnership, this role will leverage internal and external assets to build and maintain actionable financial models to inform business decisions related to the long-term sustainability of IFP business.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.  

Primary Responsibilities: 

Financial Modeling and Strategic Analysis:

• Assist in maintaining and enhancing financial models supporting actuarial, financial, utilization, network design and pricing initiatives
• Direct and prioritize recurring and ad hoc analytical work to meet business commitments
• Guide cross-functional teams in resolving complex and non-standard analytical and operational issues
• Critically evaluate information obtained from multiple sources and reconcile discrepancies
• Ensure solid data and process transparency to support methodology integrity and delegation of tasks and responsibilities for department learning opportunities and growth

Business Partnership:

• Demonstrate a supportive, customer service mindset
• Present recommendations, risks and financial implications to business leaders and cross-functional stakeholders
• Proactively anticipate and prioritize business needs and develop solutions to meet them
• Effectively inform and persuade IFP network decisions with summarized analytics while providing supporting data to a variety of audiences
• Ensure consistent network pricing methodologies and analytical standards across assigned markets

Innovation and Process Improvement:

• Seek opportunities to improve processes and identify areas of improvement specifically related to data reliability, efficiency and quality (implement and scale best practices)
• Assist in building, supporting, enhancing and maintaining reports, models and dashboards
• Successfully deploy new processes, tools and models to advance modeling capabilities in a changing environment
• Establish and monitor team quality-control standards to ensure the accuracy and integrity of forecasts, pricing models and reporting
• Create and maintain applicable project documentation for assigned initiatives

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: 

• 6+ years of analytical experience in financial analysis, health care pricing, network management, health care economics or related discipline
• 6+ years of experience with provider payment methodologies and healthcare products
• 6+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools 
• Demonstrated progression of technical expertise related to acquisition of new tools and methodologies
• Advanced level of proficiency in performing financial impact analysis, risk management and data manipulation
• Advanced level of proficiency with Excel and PowerPoint
• Proven excellent oral and written presentation skills, time/project management, problem solving and organization skills
• Willing and able to work Central Standard Time Zone and Eastern Standard Time Zone hours

Preferred Qualifications:  

• Knowledge and Intermediate level of proficiency in PowerBI, SQL, Snowflake
• Experience applying AI-enabled tools to improve analytical efficiency, automate work flows and support data-driven decision making.

*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 $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

 

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment