Manager, Network Pricing - Remote
Company: UnitedHealthcare
Location: Maitland
Posted on: July 17, 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 . 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 the Tampa market. This
position is based in the Cypress. Telecommute arrangement can be
considered based on work experience. 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, everyday. 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 7
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 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 Manage a
team of network pricing consultants which includes training and
mentoring younger consultants as well as accountability for
reviewing project work of direct reports 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, healthcare pricing,
network pricing, healthcare economics or related discipline 4 years
of experience with provider payment methodologies and healthcare
products Excellent financial impact analysis, risk management, and
data manipulation skills Excellent interpersonal, collaboration,
negotiation and communication skills Advanced level of proficiency
in MS Excel Experience in MS Access, SAS and/or SQL Intermediate
ability to interpret and review financial modeling results to
evaluate the financial impact of contract changes and develop
forecasts Prior presentation experience to internal or external
stakeholders or customers Ability to manage multiple projects
simultaneously and meet deliverable deadlines Ability to research
and solve problems independently Preferred Qualifications:
Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue
and expense, as well as delegation financial modeling Experience
with advanced statistical functions for financial modeling
Experience with medical coding (CPT, MSDRG, REV, ICD-10, etc.)
Experience in MS Access, SAS and/or SQL Prior managerial experience
*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 re 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 $89,800 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.
Keywords: UnitedHealthcare, South Beach , Manager, Network Pricing - Remote, Accounting, Auditing , Maitland, Florida
