Network Pricing Consultant - Remote
About The Position
OptumRx is looking for a curious, adaptable, and self-motivated analyst to be part of our Network Pricing team. This is an intermediate analytics role where you will learn the business fundamentals of drug pricing and client performance management, the underlying data flows, and the tools and systems used in this type of financial analysis. The person in this role will work with and have regular exposure to analysts and projects in our global data science and network pricing teams. In addition, solid communication skills are important as this role partners with other departments including Underwriting, Legal, Account Management, Operations, and Clinical to effectively oversee client performance management. Supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Conducts 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. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Requirements
- 3+ years of analytical experience in financial analysis, healthcare pricing, network management, healthcare economics, or related discipline
- 3+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools including experience in interpreting and/or displaying financial modeling results to inform actionable decisions
- Advanced proficiency in performing financial impact analysis, risk management, and data manipulation
- Proficiency in Excel
Nice To Haves
- Experience interacting with clients and internal leaders
- Healthcare or PBM experience
- Experience with Big data
- Proficiency in Alteryx, SQL/Python and/or Tableau
- Proficiency in MS Office Suite (Word, PowerPoint, Outlook)
- Proven solid written and verbal communication skills
Responsibilities
- Develop a new health plan pricing offering with collaboration of clients, development teams and finance leadership.
- Adapts departmental plans and priorities to address business and operational challenges
- Influences or provides input to forecasting and planning activities
- Product, service, or process decisions are most likely to impact multiple groups of employees and/or customers (internal or external)
- Lead and perform financial analysis and modeling as it relates to setting prescription drug prices
- Identify potential areas for prescription drug cost improvements and alternative pricing strategies
- Concisely summarize and communicate statistical findings and conclusions to management
- Translate highly complex concepts in ways that they can be understood by a variety of audiences
- Research and investigate key business problems through quantitative analysis of utilization and healthcare costs data
- Support the development of strategic initiatives aimed at reducing the total cost of care
- Proactively identify and resolve issues
- Lead projects to completion by contributing to database creation, statistical modeling, and financial reports
- Partner with other departments including Underwriting, Legal, Operations, Clinical, and Account Management to effectively oversee client performance management
- Communicating and consulting with clients directly
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
