Note: The job is a remote job and is open to candidates in USA. Optum is a global organization that delivers care aided by technology to help people live healthier lives. The Network Pricing Analyst will analyze and re-price claims data, develop financial and network pricing models, support RFP responses, and produce reporting for pricing and underwriting 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
- 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
- Flexibility to telecommute from anywhere within the U.S.
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Weeks of on-the-job training
- Career development opportunities
Company Overview
Company H1B Sponsorship