Note: The job is a remote job and is open to candidates in USA. Optum is a global health services organization that uses technology to help people live healthier lives. The Network Pricing Analyst will analyze and re-price healthcare and pharmacy claims data, develop analytical models, validate results, and conduct financial and network pricing analysis to support pricing, underwriting, and RFP activities.
Responsibilities
- Analyze and re-price existing client claims data to support client specific data analytics using SQL server, Netezza databases
- Prepare requisite competitive (i.e., external) and internal historical claims data for use in the development of RFP response submission activities
- Utilize relational database tools to re-price / trial adjudicate pharmacy claims
- Validate source data and interpret / QA re-price / trial adjudication and summary and detail report results
- Analyze source historical claims data for anomalies and / or trends in drug utilization patterns and costs
- Develop and / or analyze and refine existing analytical models, and database queries as appropriate
- Conduct financial and network pricing modeling, analysis and reporting
Skills
- • BA / BS Bachelor's Degree (or higher) in Accounting, Finance, Economics, OR related degree
- • 2+ years of Experience Analytical experience in data analysis
- • Intermediate level of proficiency in Microsoft Excel
- • Intermediate SQL OR other relational database solution experience
- • Experience of writing complex SQL, PL / SQL queries for Data Analysis & Reconciliation
- • Ability to work any of our full time shift schedules during our normal business hours of 8:00 am - 5:00 pm local time zone from Monday - Friday
- • Ability to keep all company sensitive documents secure (if applicable)
- • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
- • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
- • Python, SAS, R for Analytical Model Development
- • Analytical experience in data analysis, health care pricing, network management, healthcare economics, OR related discipline
- • PBM experience
Benefits
- National remote work flexibility for employees outside the Minneapolis, Virginia, Maryland, or Washington, D.C. areas; employees hired in those areas must work in the office a minimum of four days per week.
- Weeks of on-the-job training.
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs, subject to eligibility requirements.
- Equity stock purchase, subject to eligibility requirements.
- 401k contribution, subject to eligibility requirements.
- Career development opportunities.
- Development for other roles employees may be interested in.
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