Network Pricing Consultant – Remote

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 Network Pricing Consultant to join our Optum Infusion Pharmacy Finance. This individual will support and manage pricing for both our current and future contracts. Management of these contracts entails reviewing pricing within contracts, looking for business opportunities, and reporting on performance. Pricing is critical to every aspect of our business and will require attention to detail, advanced financial modeling skills and the willingness to push forward in an ambiguous environment. This will be a highly visible role, with the opportunity to present your financial findings to various levels of leadership and serve as an integral part in supporting pharmacy leadership to drive financial performance and growth of Optum Infusion Pharmacy.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Review and assess payer reimbursement rates for profitability
• Create financial models to identify unprofitable contracts with rate recommendations for the contract negotiation team to utilize in payer negotiations
• Support contract negotiation team in the negotiation process by providing ad hoc analytics and reviewing counter offers
• Extremely comfortable working in an ambiguous environment; pharmaceutical contracts can be complex and require critical thinking skills
• Comfortable working in an environment with competing priorities and tight deadlines
• Frequent interaction with senior leaders from multiple parts of the business, requiring professional demeanor and ability to articulate concepts in a clear and concise manner

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:

• 3+ years of experience in Network Pricing/Finance/Actuarial or related role
• Experience supporting Excel based financial modeling tools
• Experience communicating complex thoughts in a clear, concise, and timely manner both in written and oral form
• Experience preparing and delivering financial results or modeling to management/leadership
• Advanced Excel skills (pivot tables, large data sets, formulas)
• Proven ability to analyze data and provide insights and commentary around findings
• Proven detail-oriented and proven ability to meet strict deadlines

Preferred Qualifications:

• Experience with Microsoft PowerBI
• Experience with pharmaceutical contracts
• Experience working in a matrix environment, building relationships, and partnering with business leaders
• Healthcare experience

*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 $71,200 to $127,200 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.