Submission for the position: Associate Network Pricing Analyst - Telecommute in the Tampa Bay Area, FL - (Job Number: 2012005)
Associate Network Pricing Analyst - Telecommute in the Tampa Bay Area, FL
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's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)
The Network Pricing Analyst Implements, supports and validates Provider Network (Physicians, Clinics, Pharmacies, etc.) and Client pricing constructs. The Pricing Analyst role facilitates 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.
If you are located in the Tampa Bay area, FL you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
• Assess and interpret customer needs and requirements
• Identify solutions to non-standard requests and problems
• Solve moderately complex problems and/or conduct moderately complex analyses
• Implements work items in strict adherence to the Data Management change control and Quality Assurances processes
• Work with minimal guidance; seek guidance on only the most complex tasks
• Translate concepts into practice
• Provide explanations and information to others on difficult issues
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:
• High school diploma or equivalent work experience
• Intermediate proficiency in Microsoft Office Suite (Word, Excel, Outlook, Access)
• Ability to communicate complex information verbally and in writing to technical and non-technical customers, internal personnel and executives
• 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:
• 1 years of experience working in a health care, managed care and/or health insurance environment in a Finance and/or compliance role
• 1 years of experience with relational databases (SQL)
• 1 years of experience with provider payment methodologies and healthcare products
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
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)
*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: Network Pricing Analyst, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote, Tampa Bay, Florida, FL
Network Pricing
US-FL-Tampa
OptumRx Workers Comp
Oct 6, 2021, 2:53:38 PM
Schedule: Full-time Location(s): US-FL-Tampa