Remote Senior Pharmacy Pricing & Data Analytics Consultant

Optum; Eden Prairie (MN); On-site; USD 60,000 - 107,000; Full time

Job summary

Optum in the United States is seeking a Senior Network Pricing Consultant to analyze and reprice pharmacy claims data, building and validating models with SQL and relational databases. You will collaborate with finance, accounting, and sales teams to ensure accurate pricing, generate reports, and support RFP responses, while adhering to regulatory requirements.

This role offers telecommuting within the U.S.

Qualifications

• Bachelor’s degree required.
• 2+ years analytical experience in financial analysis, PBM pricing, or related.
• 2+ years of SQL Server or relational database experience.
• 2+ years of SQL/PLSQL queries for data analysis.
• Advanced MS Excel proficiency.

Responsibilities

• Analyze and re-price existing claims data to support client analytics using SQL server databases.
• Prepare historical claims data for RFP responses and internal analyses.
• Use relational database tools to re-price/trial adjudicate pharmacy claims.
• Validate data and interpret results of price adjustments and reports.
• Develop analytical models and refine database queries as needed.
• Conduct pricing modeling, analysis, and reporting with cross-functional teams.

Skills

SQL

Data analysis

Excel

PBM knowledge

Communication

Education

Bachelor’s degree

Tools

SQL Server

Azure SQL

Relational databases

PL/SQL

Job description

Optum in the United States is seeking a Senior Network Pricing Consultant to analyze and reprice pharmacy claims data, building and validating models with SQL and relational databases. You will collaborate with finance, accounting, and sales teams to ensure accurate pricing, generate reports, and support RFP responses, while adhering to regulatory requirements.

This role offers telecommuting within the U.S.