Network Pricing Consultant - Remote

Irvine, California


Employer: UnitedHealth Group
Industry: Network Contracting & Pricing
Salary: $70200 - $137800 per year
Job type: Full-Time

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 Network Pricing Consultant to join our Contract Management team. This role is responsible for the financial well-being of contracts by applying analytical tools, contract knowledge and big data to forecast, report, trouble shoot and identify areas of opportunity. The ideal candidate is a proactive individual who can move independently, learn quickly, communicate effectively and collaborate with internal and external teams. In addition, (s)he is comfortable interacting with different levels within the organization from peers to leadership.

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Lead and perform financial analysis and modeling as it relates to setting prescription drug prices
  • Create and/or execute pricing models, complex analysis and reports
  • 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 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
  • Motivates and inspires other team members
  • Serves as a key resource on complex and/or critical issues
  • Performs complex conceptual analyses

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.

Required Qualifications:

  • 4+ 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
  • Intermediate level proficiency in MS Excel
  • Beginner level proficiency in SQL

Preferred Qualifications:

  • Experience with contracts fundamentals (i.e., new agreements, amendments, renewals, upsells)
  • Python, R, or SAS for analytical model development experience
  • PBM experience
  • Intermediate level proficiency with Alteryx, Tableau and/or PowerBI
  • Intermediate level of SQL or other relational database solution experience
  • Proven excellent verbal and writing communication skills

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Created: 2024-05-19
Reference: 2224232
Country: United States
State: California
City: Irvine
ZIP: 92617