Network Pricing Analyst

Overview

This role is National Remote, with flexibility to telecommute from anywhere within the U.S. Full-time employment is Monday–Friday, with required flexibility to work any of the shift schedules during normal business hours of 8:00 am–5:00 pm local time zone.

For hires in the 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.

Responsibilities

• Analyze and re-price existing client claims data to support client-specific data analytics using SQL Server and Netezza databases
• Prepare competitive (external) and internal historical claims data for use in RFP response submission activities
• Use relational database tools to re-price and trial adjudicate pharmacy claims
• Validate source data and interpret/QA re-price/trial adjudication results and summary/detail report outputs
• Analyze historical claims data for anomalies and/or trends in drug utilization patterns and costs
• Develop and/or analyze and refine analytical models and database queries as appropriate
• Conduct financial and network pricing modeling, analysis, and reporting
• Monitor, analyze, and incorporate changes into reporting packages and relay updates through finance to pricing and underwriting

Required Qualifications

• BA/BS (or higher) in Accounting, Finance, Economics, OR related degree
• 2+ years of analytical experience in data analysis
• Intermediate proficiency in Microsoft Excel
• Intermediate SQL OR other relational database solution experience
• Experience writing complex SQL, PL/SQL queries for data analysis and reconciliation
• Ability to work any of the full-time shift schedules during normal business hours of 8:00 am–5:00 pm local time zone from Monday–Friday

Preferred Qualifications

• Python, SAS, R for analytical model development
• Analytical experience in data analysis, health care pricing, network management, healthcare economics, OR related discipline
• PBM experience

Telecommuting Requirements

• Ability to keep all company sensitive documents secure (if applicable)
• Dedicated work area separated from other living areas that 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
• Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy

Compensation & Benefits

• Salary range: $49,700 – $88,800 annually (based on full-time employment)
• Pay is based on several factors including local labor markets, education, work experience, certifications, etc.
• Benefits may include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements)
• Salary and benefits are subject to applicable minimum wage laws.

Additional Information

• On-the-job training is provided; training hours will be based on schedule or discussed on the first day of employment.
• Application deadline: posted for a minimum of 2 business days or until a sufficient candidate pool has been collected; the job posting may come down early due to volume of applicants.
• Drug-free workplace: candidates are required to pass a drug test before beginning employment.
• Equal employment opportunity employer.