Senior Network Pricing Consultant

UnitedHealth Group Inc

Eden Prairie, MN

JOB DETAILS
SALARY
$60,200–$107,400 Per Hour
SKILLS
Accounting, Adjudication, Analysis Skills, Claims Processing, Communication Skills, Consulting, Cost Control, Customer Support/Service, Customer/Client Research, Data Analysis, Data Quality, Database Design, Facebook, Finance, Financial Analysis, Health Plan, Healthcare, Healthcare Providers, Industry Standards, Interviewing Skills, LinkedIn, Maintain Compliance, Microsoft Excel, Microsoft SQL Server, Microsoft Windows Azure, Oracle PL-SQL, Pharmacy, Pricing, Printing, Product Pricing, Proposal Development, Quality Assurance, Query Analysis, Reconciliation, Record Keeping, Regulations, Regulatory Compliance, Relational Databases (RDBMS), SQL (Structured Query Language), SQL Databases, Sales, Sustainability, Team Player, Technical Writing, Training Tools, Trend Analysis, USPS (United States Post Office), Work From Home, Writing Skills, YouTube
LOCATION
Eden Prairie, MN
POSTED
5 days ago

Senior Network Pricing Consultant at UnitedHealth Group ","FormTypeId":null,"UrlLanguageCode":null,"PreviewType":0,"DateCreated":"2026-03-13T13:45:39.5319907","DateUpdated":"2026-07-13T17:56:15.0506395"}, "site");

Caring. Connecting. Growing together.

With these values to guide us, our people are committed to making a meaningful difference in the lives of those we are honored to serve.

Integrity Compassion Inclusion Relationships Innovation Performance

Senior Network Pricing Consultant

Requisition number: 2370599 Job category: Network Contracting & Pricing Primary location: Eden Prairie, Minnesota Date posted: 07/20/2026 Overtime status: Exempt Travel: No

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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 a culture guided by diversity and inclusion, 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.

A Senior Network Pricing Consultant focuses on analyzing and repricing pharmacy claims to ensure accurate cost management. This role will work on pricing applications and projects related to the manipulation and analysis of data in support of a variety of analytic solutions.

Primary Responsibilities:

  • Analyze and re-price existing client claims data to support client-specific data analytics using SQL server database
  • Prepare competitive external and internal historical claims data for use in the development of RFP response submission activities
  • Use relational database tools to re-price/trial adjudicate pharmacy claims
  • Validate source data and interpret re-price/QA/trial adjudication and summary and detail report results
  • Analyze source historical claims data for anomalies and/or trends in drug utilization patterns and costs
  • Develop and/or analyze and refine existing analytical models and database queries as appropriate
  • Conduct financial and network pricing modeling, analysis, and reporting
  • Work closely with internal teams, including finance, Accounting, and Sales, to ensure accurate and efficient claim processing
  • Keep detailed records of all pricing adjustments and ensure compliance with all relevant regulations and policies

Skills and Abilities:

  • Ability to analyze complex data and identify trends and discrepancies
  • Ensure accuracy in all aspects of claim analysis and pricing adjustments
  • Communicate clearly and effectively with team members and stakeholders
  • Understanding of PBM processes, regulations, and industry standards
  • Strong skills in SQL and relational database tools

You"ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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
  • 2+ years of analytical experience in financial analysis, PBM healthcare pricing, Network pricing or related discipline
  • 2+ years of experience with SQL Server or other relational database solutions
  • 2+ years of experience in writing Complex SQL/PLSQL queries for data analysis and reconciliation
  • 2+ years of Analytical experience in data analysis
  • Advanced level of proficiency in MS Excel

Preferred Qualifications:

  • PBM Experience
  • SQL Server Azure experience
  • Technical writing skills
  • All Telecommuters 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 hourly pay for this role will range from $60,200 to $107,400 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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.

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Benefits

Our mission of helping people live healthier lives extends to our team members. Learn more about our range of benefits designed to help you live well.

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Resources and support to focus on what matters most to you, in every facet of your life.

Emotional

Education, tools and resources to help you reduce and manage stress, build resilience and more.

Physical

Health plans and other coverage to support wellness for you and your loved ones.

Financial

Benefits for today and to help you plan for the future, including your retirement.

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2026 UnitedHealth Group. All rights reserved.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

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.

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Fraudulent Activity Notice

We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives.

The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. These counterfeit-check cashing schemes exist and use a variety of deceptions to get people to cash these fraudulent checks.

UnitedHealth Group will never request you to pay a vendor or pay a fee of any sort to explore employment opportunities with our company.

If you wish to verify the legitimacy of any email alleging or claiming to have been sent by or on behalf of UnitedHealth Group Executives or Recruiters, please call 1-800-561-0861 between 7 a.m. and 7 p.m. CT, Monday - Friday, for assistance.

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Our Commitment to Communities

At UnitedHealth Group, we are committed to giving back to the communities where we live and work, across the nation and around the world. Through charitable contributions and volunteering, our people are deeply and personally involved in building healthier communities.

Learn how we are giving back to our communities

About the Company

U

UnitedHealth Group Inc

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

https://www.youtube.com/watch?v=5PbNyi2IDkY

Caring. Connecting. Growing together.

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. Learn more about what we offer.

Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. Learn more about our culture.

Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. Discover all the ways you can learn, grow and develop.

COMPANY SIZE
10,000 employees or more
INDUSTRY
Healthcare Services
FOUNDED
1977
WEBSITE
http://careers.unitedhealthgroup.com/