Eddie Gonzalez

Experience

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  Cumberland Wood Products, Inc

  May 2007 - Aug 2010

  Network Administrator / Staff Accountant

  •Setup and maintained all software/hardware/network issues•Performed accounting duties including inventory, journal entries, and balancing the books

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  World Council of Credit Unions (WOCCU)

  Jan 2011 - Dec 2011

  International Partnerships Intern

  •Managed organizational partnerships between credit unions in the U.S. and those from countries around the world through executive exchange programs.•Created budgets and performed ROI analysis on these exchange programs. •Maintain personal relationships with management from these global financial institutions.

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  UnitedHealth Group

  May 2012 - Aug 2015

  -United Health Group acquired Catamaran in July 2015. -I was a part of legacy SXC / legacy Catamaran / now OptumRx•Manage the IT and Innovation work streams’ operating and capital expense plans. Responsible for over $150M of operating expense and over $50M of capital expense. Create annual budget for over 20 departments, and maintain forecasts throughout the year. •Act as the financial liaison for all initial stage large project discussions and approved product developments. Create P&L/ROI analysis of projects using industry trend assumptions & metrics.•Analyze month/qtr end actuals against budget. Strategize action plans with senior management on how to achieve stretch targets back to budget as well as discovering synergies/cost efficiencies. - Personally developed a comprehensive model that contains lowest level detail of every account in order to easily uncover monthly variances as well as provide to-date forecasts.- Uncovered over $250k/month in non-forecasted expenses leading to immediate action Show less Financial Rotational Program: -6 month rotation in each of the following roles belowContract Management :: CIGNA•Managed the contract reconciliation of the company’s largest client with one other analyst.•Created SQL based queries to analyze the claims data based on our contractual interpretation of the financial guarantees in order to determine the over/under performance of our services provided. Determined all of the financial implications associated with these guarantees.•Personally uncovered a $1.5M discrepancy that was miscalculated by the client, and saved our company from distributing this sum. -Discovered that the adjudication platform was pricing incorrectly and manually recreated a repricing query to run against it and evaluate the variances.Trade Relations :: Briova Specialty Pharmacy•Supported our specialty pharmacy with client pricing analytics, client statistical analysis, and any financial ad-hoc reporting.•Provided up sale strategy and ROI projections for new business/pharmacy projects and presented to senior management.Underwriting, Pricing & Analytics•Provide underwriting and sales support on renewal and new business opportunities through complex prescription drug utilization analysis, profitability projections, MAC Repricing, trend analysis, and calculating estimated client drug spend based on the clients claim data. •Provide exhibits for sales to propose pricing, custom ad hoc reports, pricing model maintenance, pharmacy contract support, and savings estimates to the client. In addition, provide recommendations and proposals for any PBM clinical upsell opportunities and sales strategy to help win and retain clients. Show less

  • Sr. Financial Analyst - FP&A

    Jan 2014 - Aug 2015

  • Financial Analyst

    May 2012 - Jan 2014
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  RxBenefits, Inc.

  Sept 2015 - now

  Manage the PFPA (Pharmacy Financial Performance Analytics) team in providing assistance for Account Management through analytics, data interpretation, and direct support in front of the client/broker- Uncover Issues / Provide Financial Impacts- Provide strategic recommendations for plans- Manage Ad-Hoc Analytics for AM/EBC/Client- Custom plan design/copay analytics- Disruptions/Analytics for groups switching PBM/Formularies/Pricing/Maintenance Programs/etc.- Financial RFP support for prospects- Data Translator/Assistance with all SAS Account Performance Reporting- Direct support with client/broker on quarterly reviews and at-risk overviews Show less - Manage the production of client reporting and analytics for our entire Book of Business. - Effective Rate, Pricing Upgrades, Reverse Reprices, Rebate Projections- Financial Liaison for the Account Management team for all client review analytics/requests/concerns- Track/Trend all client performance to ensure contractual rates are met. - Uncover issues and provide action plans to ensure resolution- Perform all Ad-Hoc PBM analytic requests from client/broker regardless of scope/complexity. - Specialty, Formulary, MAC, Copay Structure, MOOP, Cost Drivers, Member Disruption, etc. Show less

  • Sr. Manager, Pharmacy Analytics

    Mar 2021 - now

  • Manager, Pharmacy Analytics

    Mar 2018 - Feb 2021

  • Strategic Pharmacy Analyst

    Sept 2015 - Feb 2018