Senior Network Pricing Consultant - Remote

UnitedHealth Group•Eden Prairie, MN

1d•$91,700 - $163,700•Remote

About The Position

Optum Rx, a UnitedHealth Group company, is seeking a curious, adaptable, and self-motivated professional to join our Network Pricing team. This role supports 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 individual will develop a strong understanding of PBM pricing fundamentals, claims and contract data flows, analytical tools, and the systems supporting pricing decisions. Solid communication and stakeholder management skills are essential for partnering with Network Pricing, Data Science, Operations, and technology teams to achieve measurable business outcomes. This is a remote position within the U.S.

Requirements

5+ years of analytical experience in financial analysis, health care pricing, PBM network pricing, network management, health care economics, pharmacy benefit management, or a related discipline
5+ years of experience developing, maintaining, or leading financial models, analytical tools, spreadsheets, dashboards, or reporting outputs used to support pricing strategy and business decisions
3+ years of experience leading process improvement, business transformation, operational change, product delivery, or technology-enabled initiatives
Demonstrated experience using claims, contract, reimbursement, pricing, utilization, or network data to identify business insights, risks, and improvement opportunities
Proven ability to lead cross-functional initiatives, manage competing priorities, influence stakeholders, and drive outcomes in a complex matrixed environment
Proven understanding of Agile delivery practices, including requirements definition, backlog management, prioritization, testing, release planning, and adoption support
Proven excellent executive communication skills, with the ability to summarize complex analysis, business impacts, risks, and recommendations for senior leaders
Proven solid analytical, critical thinking, problem-solving, and decision-making skills, with the ability to operate independently in a fast-paced environment

Nice To Haves

Product Owner, Scrum Master, Project Management, Business Analysis, Lean/Six Sigma, or similar certification
Advanced experience in PBM, pharmacy network pricing, reimbursement strategy, contract valuation, MAC pricing, client guarantees, claims analysis, or health care economics
Experience leading transformation, product, automation, governance, or operating model initiatives in a pricing, analytics, operations, or technology environment
Experience mentoring analysts, consultants, or cross-functional partners on pricing concepts, analytical approaches, process standards, or delivery practices
Experience preparing executive-level presentations, business cases, decision papers, or strategic recommendations

Responsibilities

Lead complex PBM network pricing analysis, financial modeling, scenario evaluation, and unit cost initiatives supporting pharmacy network strategy, client guarantee performance, contract valuation, and executive decision-making
Serve as a senior subject matter expert for claims, contract, pricing, reimbursement, MAC, network, and utilization data, translating complex findings into clear recommendations and business actions
Own or lead cross-functional workstreams that improve pricing tools, data products, governance, operating model processes, reporting capabilities, and scalable business controls
Partner with senior stakeholders across Network Pricing, Data Science, Operations, Product, Technology, Finance, and other business teams to shape priorities, define requirements, resolve issues, and deliver measurable outcomes
Drive transformation delivery by identifying process gaps, automation opportunities, control weaknesses, and operational risks, then leading practical solutions from discovery through implementation and adoption
Provide analytical leadership on pricing anomalies, client performance drivers, pharmacy network trends, reimbursement changes, and claims data issues, including root-cause analysis and recommended remediation
Lead Agile delivery activities for pricing-related capabilities, including backlog refinement, prioritization, requirement definition, user acceptance testing, release readiness, stakeholder communication, and adoption tracking
Mentor and guide less experienced team members by sharing pricing knowledge, analytical methods, business context, and best practices for stakeholder engagement and delivery execution
Prepare executive-ready materials, decision summaries, action plans, and status updates that clearly communicate risks, trade-offs, recommendations, and progress against business priorities