Director Network Operations Jobs in Maple Grove, MN

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 talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
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, solid 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 work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:

• Lead and perform financial analysis and modeling as it relates to setting prescription drug prices and managing client and pharmacy financial performance
• Concisely summarize and communicate statistical findings and conclusions across key internal and external stakeholders
• Set team direction, resolve issues and provides guidance to members of own team
• Adapts departmental plans and priorities to address business and operational challenges
• Work alongside data scientists and business stakeholders to implement models from end to end, including data ingestion and preparation, analysis, modelling, performance tracking and documentation
• Identify potential areas and quantify impact for prescription drug cost improvements and alternative pricing strategies
• Influence senior leadership to adopt pricing recommendations, new ideas, and/or approaches
• Weekly communicating and consulting with clients directly
• Translate highly complex concepts in ways that can be understood by a variety of audiences and secure buy in to adopt recommendations
• Support the development of strategic initiatives aimed at reducing the total cost of care
• Predict emerging customer needs and develop innovative solutions to meet them
• Partner with other departments including Underwriting, Legal, Operations, Clinical, and Account Management to effectively oversee client performance management

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:

• 9+ years of analytical experience in financial analysis, healthcare pricing, network management, healthcare economics, or related discipline
• 7+ 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
• 3+ years management experience
• Experience interacting with clients and internal leaders
• Advanced proficiency in performing financial impact analysis, risk management, and data manipulation
• Proven solid written and verbal communication skills

Preferred Qualifications:

• Healthcare or PBM experience
• Experience with Azure or other cloud platforms
• Experience interacting with clients and internal leaders
• Proficiency with Tableau or other data visualization software
• Proven SQL programming with the ability to perform effective and efficient querying involving multiple tables and subqueries

*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 $112,700 - $193,200 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.