This position is National Remote. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. For all hires in 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.*
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.
This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm local time zone.
We offer weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.
Primary Responsibilities:
- Analyze and re-price existing client claims data to support client specific data analytics using SQL server, Netezza databases
- Prepare requisite competitive (i.e., external) and internal historical claims data for use in the development of RFP response submission activities
- Utilize relational database tools to re-price / trial adjudicate pharmacy claims
- Validate source data and interpret / QA re-price / trial adjudication and summary and detail report results
- Analyze source historical claims data for anomalies and / or trends in drug utilization patterns and costs
- Develop and / or analyze and refine existing analytical models, and database queries as appropriate
- Conduct financial and network pricing modeling, analysis and reporting
This opportunity is all about complexity. A dynamic marketplace means that unit cost forecasting will always be a challenge as costs continue to change. You'll be expected to monitor, analyze and incorporate those changes in reporting packages and relay them through finance to pricing and underwriting.
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:
- BA / BS Bachelor's Degree (or higher) in Accounting, Finance, Economics, OR related degree
- 2+ years of Experience Analytical experience in data analysis
- Intermediate level of proficiency in Microsoft Excel
- Intermediate SQL OR other relational database solution experience
- Experience of writing complex SQL, PL / SQL queries for Data Analysis & Reconciliation
- Ability to work any of our full time shift schedules during our 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)
- Required to have a dedicated work area established that is separated from other living areas and 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
*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 $49,700 - $88,800 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.