Analytic Consultant (Pharmacy, SQL, SAS) Telecommute

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

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 Clinical Analytic Consultant is responsible for providing data-driven strategic insights, customized innovative analytic approaches and insightful management opportunities for strategic clients in a pharmacy services setting. The role provides clinical support for Optum Rx clinical consulting, account management, operations, information technology, and other internal departments. The Clinical Analytic Consultant establishes strong internal and external relationships and serves as primary point of contact for overall and day-to-day service delivery for clinical analytic needs. This individual is relied upon to provide proactive detail regarding pharmacy trend and insights garnered from studying the client-specific data. This individual also represents client(s) internally and coordinates with other functional areas to implement client initiatives, complete projects, and address ongoing pharmacy service needs. In addition, the Clinical Analytic Consultant supports the clinical pharmacy team with formulary development analyses, clinical program development and clinical pharmacy functions as the need arises. The Clinical Analytic Consultant translates United Health Group's culture and values into action and is a role model for Clinical Consultants on the team.

You'll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges.

Primary Responsibilities:
  • Provide superior analytic consultation with a focus on client satisfaction, client retention, and trend management
  • Support short and long term operational and strategic business activities
  • Develop, enhance and maintain operational information and models that will have an impact on business decisions
  • Efficiently extract and manipulate pharmacy claim data for internal and external clients
  • Design, execute, and maintain advanced PBM analytics, conduct and evaluate trend analyses, and
  • present clinical and financial opportunities based on analytic insights to clients
  • Use logic and analytic skills to perform client-specific analyses in response to business questions and
  • communicate the findings, including data sources, methodology, outcomes and recommendations
  • Collaborate with clients and clinical consultants to establish achievable but aggressive clinical program goals
  • Communicate drug cost and trend information to clients and respond to plan-specific analytic inquiries
  • Stay aware of and provide market intelligence to clients
  • Analyze and effectively explain the impact of formulary and clinical program changes to clients
  • Identify and analyze opportunities to manage trend and add OptumRx products
  • Formulate client recommendations based on client data and through ad hoc or custom modeling
  • Routinely collaborate with clinical consulting and account management to provide clinical aspects of client quarterly reviews
  • Demonstrate critical thinking by analyzing relevant information with multiple methods
  • Consistently look at existing processes, methods and materials to find opportunities for improvement
  • Maintain strategic relationships with client leaders, key stakeholders, and brokers / consultants while maintaining focus on UHG and Optum strategies and goals
  • Demonstrate a growth mindset by staying curious, expecting success, and acting courageously
  • Demonstrate a high achievement drive and deliver superior performance
  • Generate innovative ideas that can be scaled across the organization
  • Support sales and marketing including participating in RFP & strategic finalist activities, per department policies
  • Routinely identify, develop and share best practice experience with peers
  • Drive enhanced client relationships through strategic discussions and planning which addresses issues of highest priority to the client

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:
  • Bachelor's degree in business, Finance, Health Administration, related field or equivalent work experience
  • 5+ years of experience in quantitative analytics and conducting advanced analytic modeling for large claims databases with real-world application
  • 5+ years of experience querying and analyzing pharmacy claims data
  • 1+ years of experience in a client-facing role
  • Experience gathering requirements from the client/business and documenting
  • Experience with process improvement, workflow, benchmarking and / or evaluation of business processes
  • Proficiency with relational databases, database structures
  • Intermediate level of proficiency with at least one data query and analysis tools (SQL, SAS, Python)
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:
  • Master's degree in business, finance, health care administration, statistics, pharmacy, or another related field
  • 3+ years of managed care or PBM experience
  • Ability to clearly communicate an analysis, including trends and opportunities, to clients and the business in writing and verbally
  • Ability to problem-solve including multiple priorities and research conflicting and/or inaccurate data
  • Excellent communication and interpersonal skills
  • Demonstrated strong analytic background
  • Demonstrated strong presentation skills

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)

Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

*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: Clinical Analytical Consultant, Clinical Consultant, Clinical Business Analyst, PBM, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH