Network Pricing Consultant - Remote

PBM Network Pricing Analyst

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.

Optum Rx is looking for a curious, adaptable, and self-motivated professional to join our Network Pricing team in a hybrid role that combines PBM network pricing expertise with transformation delivery. This role will support prescription drug pricing analysis, client performance management, and financial modeling while also contributing to process improvement, data product adoption, operating model change, and cross-functional transformation initiatives. The person in this role will build a solid understanding of PBM pricing fundamentals, claims and contract data flows, analytical tools, and the systems used to support pricing decisions.

Solid communication and stakeholder management skills are essential, as this role partners closely with Network Pricing, Data Science, Operations and technology teams to deliver measurable business outcomes.

Supports PBM network pricing, client performance management, and transformation initiatives through financial modeling, claims and contract analysis, reporting, process improvement, and cross-functional delivery. Conducts pricing and unit cost analysis in support of pharmacy network strategies, client guarantees, contract valuation, and operational decision-making. Partners with business, analytics, and technology teams to improve tools, data products, workflows, and governance practices that support scalable and accurate pricing operations.

• Lead and perform financial analysis and modeling related to prescription drug pricing, pharmacy network performance, client guarantees, and unit cost management
• Conduct PBM network pricing analysis, reporting, and scenario modeling to support pricing strategy, contract valuation, and operational decision-making
• Translate complex claims, pricing, contract, and utilization data into clear insights, recommendations, and executive-ready summaries
• Partner with business, analytics, operations, and technology teams to deliver transformation initiatives that improve pricing tools, data products, workflows, and governance
• Support Agile delivery by helping define requirements, prioritize work, test enhancements, track risks, and drive adoption of new capabilities across pricing and related business teams
• Proactively identify anomalies, risks, and improvement opportunities across drug pricing, client performance, utilization patterns, contract logic, and prescription claims data
• Participate in the development of new pricing approaches, analytical products, automation opportunities, and process improvements that strengthen business controls and scalability
• Collaborate independently with subject matter experts and stakeholders across Network Pricing, Data Science, Operations and technology teams

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.

• 2+ years of analytical experience in financial analysis, health care pricing, PBM network pricing, network management, health care economics, or related discipline
• 2+ years of experience developing, maintaining, or using financial models, analytical tools, spreadsheets, or reporting outputs to support pricing decisions and actionable business recommendations
• 2+ years of experience supporting process improvement, business transformation, operational change, or technology-enabled initiatives
• Proven experience working in an Agile environment and solid understanding of Agile methodologies and principles
• Proven excellent collaboration, communication, and stakeholder management skills, with the ability to work across business, analytics, operations, and technology teams
• Ability to prioritize and manage multiple tasks, deadlines, and stakeholder needs effectively
• Proven solid analytical, critical thinking, and problem-solving skills
• Ability to work in a fast-paced and dynamic environment

• Certified Business Analyst, Project Manager, Product Owner, Scrum Master, or similar qualifications
• Experience in PBM, pharmacy network pricing, reimbursement, claims analysis, contract valuation, MAC pricing, or healthcare economics
• Experience translating complex analytical outputs into clear recommendations for business stakeholders
• Experience improving business workflows, user adoption, or analytical tools used by…