Optimize Healthcare Solutions
Job Description
The role of a Network Pricing Specialist is to leverage the breadth of Optum assets to solve healthcare's biggest challenges. This involves understanding the needs of partners and developing business solutions using data and capabilities.
* Main Responsibilities:
* Monitor payor financial performance to identify opportunities for improvement and enhance client relationships.
* Collaborate with internal partners to ensure ongoing execution of processes aligns with contractual obligations.
* Assist in data generation and collateral for senior leadership business updates, providing explanations and information on complex issues.
* Utilize exceptional organizational skills in managing OptumRx Pharmacy contracts, ensuring accurate and timely data, generating reports, and tracking monthly performance and adherence metrics.
* Actively consult with business stakeholders and subject matter experts to ensure appropriate business content is incorporated into analytic approaches, anticipating stakeholder needs and proactively developing solutions.
* Demonstrate understanding of complex contract language to assess financial, non-financial impact, and legal implications of requested contract changes.
* Rapidly develop new insights and iterate upon those insights to drive business decisions.