Network Pricing Analyst

UnitedHealth Group•Tampa, FL

3d•$49,700 - $88,800•Remote

About The Position

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm local time zone. We offer weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment. This opportunity is all about complexity. A dynamic marketplace means that unit cost forecasting will always be a challenge as costs continue to change. You’ll be expected to monitor, analyze and incorporate those changes in reporting packages and relay them through finance to pricing and underwriting. 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.

Requirements

BA / BS Bachelor's Degree (or higher) in Accounting, Finance, Economics, OR related degree
2+ years of Experience Analytical experience in data analysis
Intermediate level of proficiency in Microsoft Excel
Intermediate SQL OR other relational database solution experience
Experience of writing complex SQL, PL / SQL queries for Data Analysis & Reconciliation
Ability to work any of our full time shift schedules during our normal business hours of 8:00 am - 5:00 pm local time zone from Monday - Friday

Nice To Haves

Python, SAS, R for Analytical Model Development
Analytical experience in data analysis, health care pricing, network management, healthcare economics, OR related discipline
PBM experience

Responsibilities

Analyze and re-price existing client claims data to support client specific data analytics using SQL server, Netezza databases
Prepare requisite competitive (i.e., external) and internal historical claims data for use in the development of RFP response submission activities
Utilize relational database tools to re-price / trial adjudicate pharmacy claims
Validate source data and interpret / QA re-price / trial adjudication and summary and detail report results
Analyze source historical claims data for anomalies and / or trends in drug utilization patterns and costs
Develop and / or analyze and refine existing analytical models, and database queries as appropriate
Conduct financial and network pricing modeling, analysis and reporting