Pharmaceutical Reimbursement Specialist - OptumRX - Eden Prairie, MN

Position Description:



Expanding
access to affordable, high quality health care starts here. This is where some
of the most innovative ideas in health care are created every day. This is
where bold people with big ideas are writing the next chapter in health care.
This is the place to do your life's best work.(sm)



The Pharmaceutical Reimbursement Specialist 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. Senor Network Pricing Analysts conduct unit cost and
contract valuation analysis in support of network contracting negotiations and
unit cost management strategies. Responsibilities also include managing unit
cost budgets, target setting, performance reporting, and associated financial
models. 



Primary Responsibilities:

• Assess and interpret customer needs and requirements.
• Identify solutions to non-standard requests and problems.
• Solve moderately complex problems and/or conduct moderately complex analyses.
• Work
  with minimal guidance; seek guidance on only the most complex tasks.
• Translate concepts into practice.
• Provide explanations and information to others on difficult issues.
• Coach, provide feedback, and guide others.
• Act
  as a resource for others with less experience. 
• Intermediate reporting and analytic ability along
  with external communication skills.

Required Qualifications:

• 1+ years Financial modeling or analytical experience
• 1+ years hands-on intermediate experience with Excel
• Bachelor's degree or HS Diploma/GED plus 3+ years equivalent experience 

Preferred Qualifications: 

• Project management experience
• Health plan experience in claims, contracting, or reimbursement
• experience in physician reimbursement policy payment and coding methodologies, including CMS
• Experience with clinical editing tools in support of physician reimbursement policy

UnitedHealth Group is working to create the health care system of tomorrow.

Already Fortune 14, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.