Network Pricing Consultant - Eden Prairie, MN

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 Network Pricing Consultant 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. Network Pricing Consultants 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:

Anticipate customer needs and proactively develop solutions to meet them
Serve as a key resource on complex and/or critical issues
Solve complex problems and develop innovative solutions
Perform complex conceptual analyses
Review work performed by others and provide recommendations for improvement
Forecast and plan resource requirements
Authorize deviations from standards
May lead functional or segment teams or projects
Provide explanations and information to others on the most complex issues
Motivate and inspire other team members
Work with all levels of staff
Support and validate Provider Network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting
Conduct 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
Develop innovative approaches
Serve as leader/mentor

Required Qualifications:

Undergraduate degree or equivalent work experience
5+ years of analytical experience in financial analysis, healthcare pricing, network management, healthcare economics, or related discipline
3+ years of experience with provider payment methodologies and healthcare products
Intermediate level of proficiency in performing financial impact analysis, risk management, and data manipulation
2+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools including experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
Strong written and verbal communication skills
Experience with MS Excel (manipulation of data using excel spreadsheet)
Ability to work independently with little direction/Self-starter
Ability to work in a matrix environment
Must be able to work with others on projects, as assigned
Detail oriented
Ability to present data/findings to others
Ability to work in a fast pace environment
Ability to work on multiple requests at any given time
Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You’ll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There’s no better place to help people live healthier lives while doing your life’s best work.(sm)
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: Financial modeling, Reporting, Financial analysis, Pricing, Network management, Healthcare economics, Medical coding, ICD10, Eden Prairie, MN, Minnesota