Network Pricing Consultant - Remote

UnitedHealth Group•Eden Prairie, MN

7d•$72,800 - $130,000•Hybrid

About The Position

OptumRx is looking for a curious, adaptable, and self-motivated professional to join our Network Pricing team in a hybrid role that combines PBM network pricing expertise with transformation delivery. This role will support prescription drug pricing analysis, client performance management, and financial modeling while also contributing to process improvement, data product adoption, operating model change, and cross-functional transformation initiatives. The person in this role will build a solid understanding of PBM pricing fundamentals, claims and contract data flows, analytical tools, and the systems used to support pricing decisions. Solid communication and stakeholder management skills are essential, as this role partners closely with Network Pricing, Data Science, Operations and technology teams to deliver measurable business outcomes. Supports PBM network pricing, client performance management, and transformation initiatives through financial modeling, claims and contract analysis, reporting, process improvement, and cross-functional delivery. Conducts pricing and unit cost analysis in support of pharmacy network strategies, client guarantees, contract valuation, and operational decision-making. Partners with business, analytics, and technology teams to improve tools, data products, workflows, and governance practices that support scalable and accurate pricing operations.

Requirements

2+ years of analytical experience in financial analysis, health care pricing, PBM network pricing, network management, health care economics, or related discipline
2+ years of experience developing, maintaining, or using financial models, analytical tools, spreadsheets, or reporting outputs to support pricing decisions and actionable business recommendations
2+ years of experience supporting process improvement, business transformation, operational change, or technology-enabled initiatives
Proven experience working in an Agile environment and solid understanding of Agile methodologies and principles
Proven excellent collaboration, communication, and stakeholder management skills, with the ability to work across business, analytics, operations, and technology teams
Ability to prioritize and manage multiple tasks, deadlines, and stakeholder needs effectively
Proven solid analytical, critical thinking, and problem-solving skills
Ability to work in a fast-paced and dynamic environment

Nice To Haves

Certified Business Analyst, Project Manager, Product Owner, Scrum Master, or similar qualifications
Experience in PBM, pharmacy network pricing, reimbursement, claims analysis, contract valuation, MAC pricing, or healthcare economics
Experience translating complex analytical outputs into clear recommendations for business stakeholders
Experience improving business workflows, user adoption, or analytical tools used by operational teams

Responsibilities

Lead and perform financial analysis and modeling related to prescription drug pricing, pharmacy network performance, client guarantees, and unit cost management
Conduct PBM network pricing analysis, reporting, and scenario modeling to support pricing strategy, contract valuation, and operational decision-making
Translate complex claims, pricing, contract, and utilization data into clear insights, recommendations, and executive-ready summaries
Partner with business, analytics, operations, and technology teams to deliver transformation initiatives that improve pricing tools, data products, workflows, and governance
Support Agile delivery by helping define requirements, prioritize work, test enhancements, track risks, and drive adoption of new capabilities across pricing and related business teams
Proactively identify anomalies, risks, and improvement opportunities across drug pricing, client performance, utilization patterns, contract logic, and prescription claims data
Participate in the development of new pricing approaches, analytical products, automation opportunities, and process improvements that strengthen business controls and scalability
Collaborate independently with subject matter experts and stakeholders across Network Pricing, Data Science, Operations and technology teams