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Sr. Network Pricing Consultant, Accountable Care Organizations - NE (Office based CT, NY, VA, NJ, MD)

UnitedHealth Group

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Job Details

Sr. Network Pricing Consultant, Accountable Care Organizations - NE (Office based CT, NY, VA, NJ, MD)(Job Number:703527)

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)


This creative role offers an excellent opportunity to directly impact an innovative function and secure your future with an industry leader. The Senior Network Pricing Consultant supports and validates physician incentive / performance based contracting activities through financial and network pricing modeling, analysis, and reporting. The individual in this role will travel to provider locations in the assigned territory to present / discuss financials, as well as the data points that explain the financial results.


Primary Responsibilities:

  • Develop, monitor and evolve the payment incentive model
  • Work independently and interact with external constituencies
  • Provide data analysis, contract auditing and metrics reporting to management
  • Perform reconciliations to determine if physicians have met contractual obligations
  • Translate highly complex concepts in ways that can be understood by a variety of audiences
  • Advocate for best economics internally and externally
  • Develop, analyze and monitor new, routine and ad hoc reports
  • Predict emerging customer needs and develop innovative solutions to meet them
  • Solve unique and complex problems with broad impact on the business
  • Develop and manage business plans to achieve objectives
  • Influence senior leadership to adopt new ideas, products, and / or approaches
  • NOTE: Travel to Providers in Northeast is a requirement
  • Role is office based in Maryland, Virginia, New Jersey,   New York or Connecticut  Location can be Maryland, VA, NJ, NY or CT


Job Network Pricing
Primary Location US-CT-SHELTON
Other Location US-Virginia, US-NJ-Iselin, US-NY-New York, US-Maryland
Organization E&I HCE Network Pricing
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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