[Remote] Network Pricing Analyst
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 millions of people live healthier lives. The Network Pricing Analyst will analyze and re-price claims data, develop and validate analytical models and database queries, and conduct financial and network pricing modeling, analysis, and reporting.
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; flexibility to telecommute from anywhere within the U.S.
- For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week.
- Weeks of on-the-job training
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in
Company Overview
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