Thursday, September 19, 2013

Network Pricing Consultant - OptumRx


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. In this role you will be expected to:- 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. This role will specifially be tasked with supporting our largest internal client (M&R) with all financial modeling and pricing changes. In addition this role will require access and reporting DB skills to support appeals DB streamlining and .gov submission pricing audit and validation.


Requirements:- Undergraduate degree - 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.- At least an 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.- Expert level proficiency in MS Excel OptumRx is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable health care solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do. In the largest and most personal sense, your impact can be greater than even you thought at OptumRx.Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

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