1. BRIAN GOESER
4770 190th Street West, Farmington, Minnesota 55024
Cell: (612) 201 3790 - bgoeser@yahoo.com
Professional Summary
Enterprising, articulate, and performance-driven professional, seeking a career opportunity that would effectively
utilize my outstanding work ethic and determination. Competent professional who embraces change and thrives
on financial challenges, with the capability to increase productivity through powerful combination of background
in account management, presentations, business relations, and customer care. Strong analytical skills, with
aptitude for analyzing and interpreting information in multiple viewpoints; well-developed skills in prioritizing,
decision-making, and time management.
Education and Training
Bachelor of Science: Business Management w/minor Statistics
Iowa State University － Ames, IA
UnitedHealth Care Management training and OptumRx Culture Training
Boys Scouts Adult Leader and Youth Sports Association coaching experience
Skill Highlights
Managed Care Specialty Pharmacy & Medical Management Making & Independent
Financial experience Experienced Time Management & Project
Adaptive Team Leader and player Management
Strong business analytical skills Strong Finance experience
Underwriting Professional Specialty Pharmacy Profit & Trend expertise
Medicare Trend & Financial Presentation Cultured trained leader
experience Sergeant in the Army National Guard’s
Budget & Forecast experience Highly visible experience
Provider Networking experience Experience SQL, SAP, Microsoft products
Professional Experience
SENIOR MANAGER PHARMACY NETWORK ECONOMICS
September 2014 to Present
Argus Health System
 Lead staff in analysis of large, complex datasets of business, pharmacy provider, and customer data, including
determining generic product pricing
 Establish work priorities and delegate work to ensure deadlines are met, managing resources to optimize staff
productivity
 Communicate on day-to-day basis across multiple teams to plan and deliver daily management activities for pricing
models
 Ensure appropriate revenue streams are available within pricing models and to generate and optimize revenue through
models
ASSOCIATE DIRECTOR OF UNDERWRITING FINANCE
April 2012 to September 2013
UnitedHealth Care
 In charge of internal small group audits, Risk Management processes, and Financial reporting
 Maintained and created process improvements for a risk management database through leveraging
technology
 Developed and created operational underwriting processes to identify key risk areas; Strategic National
approach to implement internal financial key controls
 Interface with business leaders to support the Vice President on Financial and Operational Reporting
Maintained and created Town hall and Executive Dashboard slide presentations
 Managed direct staff reports with a focus on tangible steady progress toward continuous improvements
Created and developed a production audit SOP for the Underwriting Risk Management department

2. MANAGER NETWORK PRICING
May 2009 to April 2012
OptumRx
 Developed and Implemented Specialty/Home Infusion drug pricing using several different drug databases
 Support and validated Provider Network Pharmaceutical (physicians, hospitals, pharmacies, ancillary
facilities etc.) contracting and unit cost management activities through financial and network pricing
modeling, analysis, and reporting
 Lead the development of drug pricing methodologies including MAC development, project fund
management and tracking process management
 Managed relationships with external vendors
 Managed direct report staff with continuous improvements
 Applied expertise in pharmacy and medical claims data and the use of access, excel and or SQL to
analyze against contract and business requirements
 Lead and contribute to process improvement through technology and industrial practices
Supported the clinical team with compliance and adherence to Specialty clinical programs
MEDICARE REGIONAL FINANCE MANAGER
August 2007 to February 2009
Blue Cross Blue Shield of Minnesota
 Handled over 360K members monthly cash distributions to seven state plans estimated at $70 million with
annual budget $1 billion
 Perform monthly close and lead the understanding of monthly results against the financial plan
 Support the annual Part D CMS bid process leveraging cross-functional departments
Prepared external and internal audits and reconciling statements
 Created financial reporting, budgeting, and forecasting for senior management and the Board of
Managers
 Consulted with BCBSMN departments related to accounting, actuarial, budgeting, treasury, financial
statement preparation, and forecasting
 Proactively lead accountabilities concerning business planning and innovative financial product pricing
and profitability margin analysis
 Created annual strategic goals, objectives and budget with recommendations to reduce medical costs
 Developed monthly accounting and financial reports for distribution to regulators
 Facilitated and developed annual Financial presentation for the Finance Summit meeting
 Created and maintained Medical cost reduction trend reports
MAJOR/NATIONAL SENIOR UNDERWRITER
August 2005 to August 2007
Blue Cross Blue Shield of Minnesota
 Analyzed complex client risks during department projects
 Underwritten experience in Managed Care, Medicare, Medicaid LOB's
 Coordinated efforts to management on internal/external underwriting risk
 Trained and coached peers along with providing technical support to lower level underwriters
 Earned promotions from large groups, service cooperatives, to major national accounts
 SME expertise in pharmacy and medical claims data with the use of analytical tools such as Excel or SQL
for selling additional value-based products
SENIOR REGIONAL FINANCIAL CONSULTANT
October 1999 to August 2005
Express Scripts Inc.
 Assisted initiatives to obtain gross margin enhancements; underwrote various types of businesses from
managed care to public sector to Workers Compensation cases which ranged from small to jumbo-size
clients
 Lead and Identified margin related issues through financial review meetings with the client
 Improved financial tools for customers renewal strategies including cost saving projections
 Integrated new underwriting processes to maintain accurate underwriting models
 Volunteered for special projects for the entire department concerning client cost saving methodology
 Leverage pharmacy expertise for value based and added services for current and potential clients