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UnitedHealthcare - Network Pricing Consultant Resume Example

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Ella Peterson
  • XXX X XXX XXX XXXX XXX, Columbus, OH 43215
  • H: XXXXXXXXXXXXX
  • XXXXXXXXXXXXXXXX
Summary

Seasoned Network Pricing Consultant with more than 8 years of experience in financial analysis.  Excellent critical thinking and analytical skills.  Able to effectively communicate and interact with individuals at all levels.  Sets high personal goals, priorities, and standards.

Skills
  • Proficient in Microsoft Excel programs, including Excel, Access, Word, and PowerPoint
  • Project Management
  • Complex Problem Solving
  • Judgment and Decision Making
  • Time Management
  • Critical Thinking
Experience
Network Pricing Consultant, 05/2008 to Present
UnitedHealthcare Minneapolis, MN
  • Support and validate Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting while building and maintaining positive relationships 
  • Conduct unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
  • Manage unit cost budgets, target setting, performance reporting, and associated financial models for Hospital, Ancillary and Physician providers in the Cleveland market  
  • Anticipate customer needs and proactively develop solutions to meet them
  • Serve as a key resource on complex and/or critical issues
  • Perform complex conceptual analysis necessary to solve complex problems
  • Provide recommendations for contractual structure and rate improvements
  • Development and administration of the Cleveland Pricing Analytics Sharepoint site, which helped to streamline and increase efficiency with analysis requests and completion times
  • Participate in ad hoc projects and analysis, including the calculation and reporting of rates for new MS-DRG cardiac codes put in place October 2014
  • Assist in workload management, including completing analysis for other markets in the Central Region when necessary
Lab Manager, 03/2004 to 10/2006
Ghent Family Practice
  • Maintained consistent and efficient lab processes with a staff of five Medical Assistants
  • Created new lab policies and procedures resulting in increased efficiency 
  • Teamed closely with credentialing agencies and managed lab personnel to ensure proper standards were met consistently 
  • Teamed with insurance companies to solve patient billing discrepancies 
  • Developed bi-weekly inventory ordering process, which decreased overstock and resulted in substantial cost savings 
  • Posted patient payments while maintaining accurate patient billing accounts  
  • Participated in patient care including assisting the physician with minor surgical procedures, obtaining vital signs, venipuncture and administering injections

Certified Medical Assistant, 12/2001 to 08/2003
The Women's Health Group, Inc
  • Teamed with insurance companies to solve patient billing discrepancies.
  • Posted patient payments while maintaining accurate patient billing accounts.
  • Prepared supply orders to keep office adequately stocked.
  • Participated in patient care including assisting the physician with minor surgical procedures, obtaining vital signs, venipuncture and administering injections.

Education
MBA: Business Intelligence, Jun 2013 Capella University - Minneapolis, MN
BBA: Finance, May 2008 Kent State University - Kent, Ohio
Medical Assisting Diploma: Medical Assisting, Dec 1998 ETI Technical College - North Canton, Ohio
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Resume Details

This is a real resume for a Network Pricing Consultant in Columbus, Ohio with experience working for such companies as Unitedhealthcare, Ghent Family Practice, The Womens Health Group. This is one of the hundreds of Network Pricing Consultant resumes available on our site for free. Use these resumes as templates to get help creating the best Network Pricing Consultant resume.

Previous Companies:

  • UnitedHealthcare
  • Ghent Family Practice
  • The Womens Health Group

Previous Job Positions:

  • Network Pricing Consultant
  • Lab Manager
  • Certified Medical Assistant

Schools:

  • Capella University
  • Kent State University
  • ETI Technical College

Level of Education:

  • MBA
  • BBA
  • Medical Assisting Diploma

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