19 days old

Senior Network Pricing Analyst - Telecommute - 920792

Tampa, FL 33602 Work Remotely
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  • Job Code
    920792

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)
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"The Senior Network Pricing Analyst Implements, supports and validates Provider Network (Physicians, Clinics, Pharmacies, etc.) And Client pricing constructs. The Pricing Analyst role will support pricing, client implementations and data changes/database updates on behalf of Finance and multiple other internal groups such as Provider Relations, Tmesys Network, Account Management, Business Operations, Accounts Receivable and Billing. Core functions include monitoring of subscriber data feeds, related loads to assure systematic risks are identified and corrected, and audit and analysis of automated provider and client related pricing architecture and algorithms. The position requires knowledge related to new and migrated client implementations, as well as pricing related factors such as pricing sequences, lessor of logic, specialty networks, upcharges, and carve out based on Product, Provider, or State Jurisdiction and knowledge of related order entry and processing systems.

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Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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"Primary Responsibilities:

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    • Assess and interpret customer needs and requirements
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    • Identify solutions to non-standard requests and problems
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    • Solve moderately complex problems and/or conduct moderately complex analyses
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    • Work with minimal guidance; seek guidance on only the most complex tasks
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    • Translate concepts into practice
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    • Provide explanations and information to others on difficult issues
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Youll 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.

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Required Qualifications:

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  • High school diploma
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  • 2+ years of experience with relational databases (SQL)
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  • 2+ years of experience working in a health care, managed care and/or health insurance environment in a Finance and/or compliance role
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  • Intermediate level of proficiency in Microsoft Office Suite (Word, Excel, Outlook, Access)
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  • Ability to communicate complex information verbally and in writing to technical and non-technical customers, internal personnel and executives
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
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Preferred Qualifications:

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  • 2+ years of analytical experience in financial analysis, healthcare pricing, network management, healthcare economics, or related discipline
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  • 2+ years of analyst experience analyzing and reporting using large data sets in order to identify issues, trends, or exceptions that drive improvement in results
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  • 2+ years of experience interacting & collaborating with a variety of stakeholders (other team members, internal customers and executives)
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  • 2+ years of experience in SQL Server Integration Services (SSIS) and other advanced business intelligence concepts related to data extraction, transformation, loading, scheduling, etc.
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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)

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Colorado Residents Only: The salary range for Colorado residents is $53,300 to $95,100. 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, youll find a far-reaching choice of benefits and incentives

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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.

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

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Job Keywords: Senior Network Pricing Analyst, Telecommute, Remote, Work from Home

Posted: 2021-04-01 Expires: 2021-05-01

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Senior Network Pricing Analyst - Telecommute - 920792

UnitedHealth Group
Tampa, FL 33602

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