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Network Pricing Consultant - Multiple Locations

UnitedHealth Group


Location:
Irvine, CA
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1777297
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Job Details


Network Pricing Consultant - Multiple Locations(Job Number:727037)
Description

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)

 

The Network Pricing Consultant supports and validates Provider Network ( pharmacies) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Network Pricing Consultants conduct unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Responsibilities also include managing unit cost budgets, target setting, performance reporting, and associated financial models.

 

This team is responsible for making sure that we are complaint with state MAC laws regarding pricing and appeals. They meet with the Regulatory Department and find ways to operationalize state law requirements. They also generate reports and deal with escalated complaints from states DOI.

 

Primary Responsibilities:

  • Anticipate customer needs and proactively develop solutions to meet them
  • Serve as a key resource on complex and / or critical issues
  • Solve complex problems and develop innovative solutions
  • Perform complex conceptual analyses
  • Review work performed by others and provide recommendations for improvement
  • Forecast and plan resource requirements
  • Authorize deviations from standards
  • May lead functional or segment teams or projects
  • Provide explanations and information to others on the most complex issues
  • Motivate and inspire other team members

 


Job Network Pricing
Primary Location US-CA-Irvine
Other Location US-IL-Schaumburg, US-Minnesota
Organization OptumRx Industry Reltn & Trade
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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