UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Network Medical Cost Analyst - Irvine, CA-314565
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description Prescription Solutions is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated pharmacy teams. Let's talk about more effective and affordable health care solutions. This is caring. This is great chemistry. This is the way to make a difference.
Positions in this function develop and drive provider performance improvement strategies, medical cost containment programs, and special projects that directly impact the operational and financial performance of network management using strong reporting, analytical and influencing skills. May analyze medical utilization rates of specific providers and/or across physician, hospital and ancillary service lines. May provide technical and analytical support to field markets to assist in the development of sophisticated and complex analysis of network utilization.
- Analyzes and investigates.
- Provides explanations and interpretations within area of expertise.
Prescription Solutions is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. New ideas are welcome. And passion for improving the lives of our customers is a motivating factor in everything that happens. Qualifications
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2+ years of experience managing pharmacy networks that support client base, including chains, pharmacy service association organizations, and independents pharmacy networks
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2+ years of experience in pharmacy relations activities, analyzing pharmacy performance, creating pharmacy reimbursement arrangements, and credentialing activities
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Undergraduate degree or equivalent experience
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. |