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Manager Healthcare Economics - Telecommute

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UnitedHealth Group 142600.00 US Dollar . USD Per annum

2021-12-03 07:44:38

Job location Irvine, California, United States

Job type: fulltime

Job industry: Banking & Financial Services

Job description

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

Optum Rx, a UnitedHealth Group company, with over 24,000 employees globally, specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. Our goal is to deliver high-quality, integrated services to promote optimal outcomes, superior savings and outstanding client and consumer experiences. We make healthier happen by creating smarter health care connections to help more than 65 million consumers nationwide realize improved care, lower costs, and a better overall experience.

OptumRx is looking for a curious, adaptable, and self-motivated analyst to be part of our Network Pricing team. This is an intermediate analytics role where you will learn the business fundamentals of drug pricing and client performance management, the underlying data flows, and the tools and systems used in this type of financial analysis. The person in this role will work with and have regular exposure to analysts and projects in our global data science and network pricing teams. In addition, strong communication skills are important as this role partners with other departments including Underwriting, Legal, Account Management, Operations, and Clinical to effectively oversee client performance management.

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. Conducts 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

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Sets team direction, resolves problems, and provides guidance to members of own team
  • May oversee work activities of other supervisors
  • Adapts departmental plans and priorities to address business and operational challenges
  • Influences or provides input to forecasting and planning activities
  • Product, service, or process decisions are most likely to impact multiple groups of employees and/or customers (internal or external)
  • Lead and perform financial analysis and modeling as it relates to setting prescription drug prices
  • Identify potential areas for prescription drug cost improvements and alternative pricing strategies
  • Concisely summarize and communicate statistical findings and conclusions to management
  • Translate highly complex concepts in ways that can be understood by a variety of audiences
  • Research and investigate key business problems through quantitative analysis of utilization and healthcare costs data
  • Support the development of strategic initiatives aimed at reducing the total cost of care
  • Proactively identify and resolve issues
  • Lead projects to completion by contributing to database creation, statistical modeling, and financial reports
  • Partner with other departments including Underwriting, Legal, Operations, Clinical, and Account Management to effectively oversee client performance management
  • Communicating and consulting with clients directly
  • Help set team direction, mentor, and provide guidance to members of own team
  • Work with and have regular exposure to analysts and projects in our global data science and network pricing teams


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:

  • 5+ years of analytical experience in financial analysis, healthcare pricing, network management, healthcare economics, or related discipline
  • 5+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools including experience in interpreting and/or displaying financial modeling results to inform actionable decisions
  • 2+ years direct report management
  • Experience explaining complex set ups and resolutions to internal and external stakeholders
  • Expert proficiency in performing financial impact analysis, risk management, and data manipulation
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

Preferred Qualifications:

  • Experience interacting with clients and internal leaders
  • Experience delegating analytical tasks, mentoring, or supervising the day-to-day responsibilities of other staff members
  • Healthcare or PBM experience
  • Experience with Big data
  • Proficiency in Alteryx, SQL and/or Tableau


To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.


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)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $79,700 to $142,600. The salary range for Connecticut / Nevada residents is $87,900 to $156,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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: Manager Healthcare Economics, Financial Analysis, Healthcare Pricing, Network Management, Healthcare Economics, Report Management, Financial Impact Analysis, Data Manipulation, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote

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