PBM Network Pricing Consultant - SQL- Remote

Company: UnitedHealth Group
Location: Eden Prairie
Posted on: September 15, 2023

Job Description:

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.--Positions 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 modelsYou'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.--Primary 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
• Review's work performed by others and provides recommendations for improvement
• Forecasts and plans resource requirement
• 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 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 SMEsYou'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:
  • 5+ 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 ExcelPreferred Qualifications:
    • 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
    • Proven efficient written and verbal communication skillsCareers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.--California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $67,800 to $133,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy --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.--

Keywords: UnitedHealth Group, Eden Prairie , PBM Network Pricing Consultant - SQL- Remote, IT / Software / Systems , Eden Prairie, Minnesota