Optum Logo

Optum

Senior Network Pricing Consultant - Remote

Posted 27 Days Ago
Be an Early Applicant
In-Office or Remote
Hiring Remotely in Eden Prairie, MN
92K-164K Annually
Senior level
In-Office or Remote
Hiring Remotely in Eden Prairie, MN
92K-164K Annually
Senior level
Leads healthcare and prescription drug pricing analysis, financial modeling, contract valuation, forecasting, cost-improvement strategy, and performance reporting. Researches utilization and healthcare cost data, develops statistical models and financial reports, communicates findings to management, and partners with Underwriting, Legal, Operations, Clinical, and Account Management. The role also supports client performance management, network contracting negotiations, pricing strategies, and strategic initiatives to reduce total cost of care.
The summary above was generated by AI
Requisition Number: 2382247
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization 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, solid 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.
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 models
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary 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

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:
  • 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

Preferred Qualifications:
  • Experience interacting with clients and internal leaders
  • Experience with Big data
  • Proficiency in MS Office Suite (Word, PowerPoint, Outlook)
  • Proven solid written and verbal communication skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Similar Jobs at Optum

One Month Ago
In-Office or Remote
92K-164K Annually
Senior level
92K-164K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Lead PBM network pricing and financial modeling efforts to support pricing strategy, contract valuation, client guarantee performance, and transformation initiatives. Analyze claims, contract, reimbursement, and utilization data; drive process improvements, tooling, governance, and Agile delivery; mentor junior staff and prepare executive-level recommendations.
4 Hours Ago
In-Office or Remote
92K-164K Annually
Junior
92K-164K Annually
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Owns the end-to-end product lifecycle for healthcare and revenue cycle management workflows, from discovery through launch and iteration. Defines requirements, prioritizes roadmaps, partners with design and engineering, conducts stakeholder discovery, and measures product performance. The role focuses on building AI-enabled capabilities, improving user experience, and translating complex healthcare workflows into scalable products.
Top Skills: Ai/MlUx/Ui
4 Hours Ago
In-Office or Remote
73K-130K Annually
Senior level
73K-130K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Oversee actuarial pricing for ancillary and individual insurance products by analyzing claims, membership, utilization, healthcare cost trends, forecasts, competition, and state rate filings. Develop pricing models, support product launches and regulatory interactions, identify revenue opportunities, translate complex analytics for stakeholders, and improve automated processes. Collaborate with executive leadership, medical economics, accounting, forecasting teams, external partners, and state insurance departments.
Top Skills: ChatgptClaudeExcelSASSnowflakeSQL

What you need to know about the San Francisco Tech Scene

San Francisco and the surrounding Bay Area attracts more startup funding than any other region in the world. Home to Stanford University and UC Berkeley, leading VC firms and several of the world’s most valuable companies, the Bay Area is the place to go for anyone looking to make it big in the tech industry. That said, San Francisco has a lot to offer beyond technology thanks to a thriving art and music scene, excellent food and a short drive to several of the country’s most beautiful recreational areas.

Key Facts About San Francisco Tech

  • Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Google, Apple, Salesforce, Meta
  • Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
  • Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
  • Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account