Network Pricing Consultant

UnitedHealth GroupEden Prairie, MN
258d$71,600 - $140,600Remote

About The Position

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 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, strong 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. Position in this function 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.

Requirements

  • 3+ years of analytical experience in financial analysis, health care pricing, network management, health care economics or related discipline
  • 2+ 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
  • Intermediate level of proficiency in performing financial impact analysis, risk management and data manipulation
  • Advanced level proficiency in MS Excel

Nice To Haves

  • Analytical experience in data analysis, health care pricing, healthcare economics or related discipline
  • Python, R, or SAS for analytical model development experience
  • Intermediate SQL or other relational database solution experience
  • PBM experience
  • Experience working in Power Bi or Tableau
  • Proven efficient written and verbal communication skills

Responsibilities

  • Anticipates customer needs and proactively develops solutions to meet them
  • Serves as a key resource on complex and/or critical issues
  • Solves complex problems and develops innovative solutions
  • Performs complex conceptual analyses
  • Reviews work performed by others and provides recommendations for improvement
  • Forecasts and plans resource requirements
  • Authorizes deviations from standards
  • May lead functional or segment teams or projects
  • Provides explanations and information to others on the most complex issues
  • Motivates and inspires other team members
  • Lead and perform financial analysis and modeling as it relates to setting prescription drug prices
  • Conduct financial and network pricing modeling, analysis, and reporting
  • Concisely summarize and communicate the results of complex analytics
  • Lead projects to completion by contributing to database creation, statistical modeling, and financial reports
  • Predict emerging customer needs and develop innovative solutions to meet them
  • Participate in the development of new ideas, products and/or approaches
  • Proactively identify anomalies in drug pricing, client performance, utilization patterns, or prescription claims data
  • Collaborate independently with other department SMEs

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

Entry Level

Industry

Insurance Carriers and Related Activities

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