Note: The job is a remote job and is open to candidates in USA. UnitedHealth Group, through its OptumRx organization, delivers technology-enabled healthcare services that help people live healthier lives. The Senior Network Pricing Consultant supports provider network contracting and prescription drug pricing through financial analysis, modeling, reporting, cost optimization, and client performance management. The role collaborates with Underwriting, Legal, Operations, Clinical, Account Management, and clients to develop strategic pricing and cost-of-care initiatives.
Responsibilities
- Adapts departmental plans and priorities to address business and operational challenges
- Influences or provides input to forecasting and planning activities
- Product, service, or process decisions are most likely to impact multiple groups of employees and/or customers (internal or external)
- Lead and perform financial analysis and modeling as it relates to setting prescription drug prices
- Identify potential areas for prescription drug cost improvements and alternative pricing strategies
- Concisely summarize and communicate statistical findings and conclusions to management
- Translate highly complex concepts in ways that can be understood by a variety of audiences
- Research and investigate key business problems through quantitative analysis of utilization and healthcare costs data
- Support the development of strategic initiatives aimed at reducing the total cost of care
- Proactively identify and resolve issues
- Lead projects to completion by contributing to database creation, statistical modeling, and financial reports
- Partner with other departments including Underwriting, Legal, Operations, Clinical, and Account Management to effectively oversee client performance management
- Communicating and consulting with clients directly
Skills
- 7+ years of analytical experience in financial analysis, healthcare pricing, network management, healthcare economics, or related discipline
- 7+ 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
- Advanced proficiency in performing financial impact analysis, risk management, and data manipulation
- Proficiency in Alteryx, SQL/Python and/or Tableau
- Healthcare or PBM experience
- Demonstrated proficiency in Excel
- Experience interacting with clients and internal leaders
- Experience with Big data
- Proficiency in Alteryx, SQL/Python and/or Tableau
- Proficiency in MS Office Suite (Word, PowerPoint, Outlook)
- Proven solid written and verbal communication skills
Benefits
- Flexibility to work remotely from anywhere within the U.S.
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Career development opportunities
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