![Optum](https://media.trabajo.org/img/noimg.jpg)
Manager Healthcare Economics
3 weeks ago
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.
As the Optum Care National Risk Adjustment Healthcare Economics Team, we support all risk adjustment efforts across our enterprise, primarily focused on Medicare Advantage Risk Modeling and Financial Forecasting. We are internal analytics partners who provide expertise to our finance, operations, accounting, and clinical leads to identify coding gaps, assess opportunity, forecast, and analyze risk. If you eat, breathe, and sleep risk adjustment like we do, then this is the right place for you If you're not a risk adjustment expert, but hungry, driven, and willing to learn, we will help you become one of the best-in-class experts in the field.
As a Manager Healthcare Economics, you will help lead key efforts around risk score forecasting, revenue assessment, predictive suspecting, program evaluations, and strategic guidance related to Medicare Advantage Risk Adjustment.
The role also requires knowledge of the CMS Medicare Advantage payment models, and expert knowledge of data access, construction, and manipulation of large datasets to support planned analyses, using advanced SQL development or similar tools.
You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- This is an individual contributor role responsible for leading a region and/or markets for forecasting revenue and collaborating with finance and accounting teams
- Assist in leading complex analytic projects leveraging data from multiple sources
- Understand and apply highly technical specifications to healthcare datasets
- Serve as key healthcare economics and analytics contact for local, regional, and national OptumCare leadership and key national finance and operations stakeholders
- Multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, meet deadlines, and manage a project from start to finish
- Develop full understanding of CMS guidelines and specifications as it relates to Medicare Advantage and Risk Adjustment
- Identify and implement appropriate analytic and forecasting methodologies
- Develop and manage advanced forecast models
- Design, produce and support development of dashboards and key performance indicator reports to meet customer requirements
- Leverage and coordinate enterprise-wide capabilities to meet business-specific needs
- Educate non-technical stakeholders on risk adjustment topics from the clinical, operational, and financial perspective
- Communicate results to relevant audiences, and seek and apply feedback into future iterations and new analytic development
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:
- Degree in Economics, Statistics, Finance, Health Administration, Mathematics or related field and 3+ years of advanced analytics experience focused on healthcare data
- Knowledge of the CMS Risk Adjustment models and applicability as it relates to revenue cycle analytics and forecasting
- Analytical expertise in data analysis, statistical analysis, data manipulation, data extraction, and reporting
- Advanced proficiency with SQL development
- Proficient with MS Excel, including creating Macros, Pivot Tables, SUMIFS, SUMPRODUCT, and VLOOKUPs, etc.
Preferred Qualifications:
- Experience in supporting finance and accounting partners through an analytics focused role, including forecasting techniques
- Experience in predictive modeling, data manipulation, reporting, and analysis
- Experience synthesizing analysis into actionable and easy to digest insights
- Experience measuring impact and ROI of operational programs and services
- Advanced to expert proficiency with SAS and/or other data manipulation and statistical tools
- Knowledge of CMS regulations and specifications regarding Medicare Advantage risk adjustment
- Experience with Snowflake
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.
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.
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.
-
Manager Healthcare Economics
3 weeks ago
Phoenix, Arizona, United States Optum Full timeOptum 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,...
-
Healthcare Performance Improvement Manager
4 days ago
Phoenix, Arizona, United States Arizona Official Website of State of Arizona Full timePosition Overview:Join a dedicated team committed to enhancing the quality of life for individuals and families in Arizona. The Department of Economic Security (DES) is on the lookout for a proactive and skilled individual to fill the role of Managed Care Program Administrator - QI/PI Manager. This pivotal position focuses on leading performance enhancement...
-
Contract Compliance Specialist
20 hours ago
Phoenix, Arizona, United States Arizona Official Website of State of Arizona Full timeAbout the RoleThe Arizona Department of Economic Security is seeking a highly motivated and experienced Contract Management Specialist 3 to join our team in the Contract Action Unit. As a key member of our team, you will play a critical role in ensuring the meticulous adherence to established contractual agreements, policies, and compliance standards.Key...
-
Healthcare Administration Manager
1 week ago
Phoenix, Arizona, United States Adelante Healthcare Center Support Office - Adelante Healthcare Full timeAbout Adelante Healthcare At Adelante Healthcare, we are committed to fostering healthy communities through accessible healthcare. Our mission is to enhance community health by delivering top-notch primary and preventive care that is affordable for all. With over four decades of service, we focus on providing essential healthcare to vulnerable populations...
-
Healthcare Administration Manager
1 week ago
Phoenix, Arizona, United States Adelante Healthcare Center Support Office - Adelante Healthcare Full timeAbout Adelante Healthcare At Adelante Healthcare, we are committed to fostering healthy communities through exceptional primary and preventive care. Our mission is to enhance community health by delivering accessible healthcare services to all. With over four decades of dedicated service, we strive to support the most vulnerable populations across multiple...
-
Healthcare Administration Manager
1 week ago
Phoenix, Arizona, United States Adelante Healthcare Center Support Office - Adelante Healthcare Full timeAbout Adelante Healthcare At Adelante Healthcare, we are committed to fostering healthier communities through accessible and high-quality primary and preventive care. With over four decades of service, our focus remains on delivering healthcare to those in need across multiple locations. OUR EXCEPTIONAL BENEFITS We cultivate a workplace that prioritizes...
-
Healthcare Administration Manager
1 week ago
Phoenix, Arizona, United States Adelante Healthcare Center Support Office - Adelante Healthcare Full timeAbout Adelante Healthcare At Adelante Healthcare, we are committed to fostering healthy communities through accessible and high-quality primary and preventive care. With over four decades of dedicated service, we focus on delivering healthcare to those in need across multiple locations in Maricopa County. By becoming part of our organization, you will...
-
Healthcare Administration Manager
1 week ago
Phoenix, Arizona, United States Adelante Healthcare Center Support Office - Adelante Healthcare Full timeAbout Adelante Healthcare At Adelante Healthcare, we are committed to fostering healthy communities through exceptional healthcare services. Our mission focuses on enhancing community health by delivering high-quality primary and preventive care that is accessible to all. With over four decades of dedicated service, we strive to support our most vulnerable...
-
Healthcare Office Manager
4 days ago
Phoenix, Arizona, United States HETAL C SHAH MD PC Full timeJob DescriptionWe are a dedicated OB/GYN practice seeking a Healthcare Office Manager with a solid background in the management of healthcare facilities. The ideal candidate will possess strong organizational and communication skills, with the ability to effectively oversee office operations. Bilingual abilities are considered an advantage.Job SummaryIn this...
-
Healthcare Quality Manager
18 hours ago
Phoenix, Arizona, United States Arizona Official Website of State of Arizona Full timeJob Summary:This nursing position is responsible for leading the Department of Child Safety's (DCS) Comprehensive Health Plan (CHP) clinical and quality contributions as the subject matter expert for the DCS CHP Quality Department. The role promotes quality and cost-effectiveness of healthcare by applying clinical acumen and the appropriate application of...
-
Healthcare Enrollment Manager
22 hours ago
Phoenix, Arizona, United States TTF Search and Staffing Full timeJob OverviewTTF Search and Staffing is seeking a skilled Provider Enrollment Specialist to join our team. As a key member of our organization, you will play a critical role in managing incoming requests for web portal access.Key ResponsibilitiesManage and process incoming requests for web portal accessEnsure timely and accurate processing of...
-
In-House Counsel
3 weeks ago
Phoenix, United States Serenity Healthcare Full timeJob DescriptionJob DescriptionIn-House CounselWelcome to Serenity Healthcare, where we are revolutionizing mental healthcare and transforming lives. As we experience remarkable growth, with a 130+% year-over-year expansion for the past 6 years, we seek an exceptional In-House Counsel to oversee all legal activities while advising key stakeholders to ensure...
-
Account Manager
3 weeks ago
Phoenix, United States HALO Precision Diagnostics Full timeJob DescriptionJob DescriptionSaving Lives with Early DetectionAccount Manager (Healthcare) The mission of HALO Dx is to Save Lives with Early Detection. HALO Dx has a unique approach bringing together pioneers in the fields of radiology, molecular diagnostics and software development to create unparalleled levels of services and patient outcomes. Leveraging...
-
Healthcare Operations Supervisor
1 week ago
Phoenix, Arizona, United States Serenity Healthcare Full timeJob OverviewPosition: Healthcare Operations SupervisorLocation: Phoenix-Biltmore, AZJoin us in transforming the healthcare landscape by providing innovative treatment options. We are looking for a dedicated Healthcare Operations Supervisor to oversee essential metrics that facilitate patient recovery through TMS therapy.With the support of our leadership...
-
Instructional Designer-Healthcare
4 weeks ago
Phoenix, United States Rainmakers Strategic Solutions Full timeJob DescriptionJob DescriptionJob Title: Instructional Designer and Multimedia DeveloperJob Overview:Rainmakers Strategic Solutions, LLC, a certified SBA 8(a), and Economically Disadvantaged Women-Owned Small Business (EDWOSB), is looking to expand capabilities in comprehensive Stakeholder Training and Program Support initiatives in support of federal...
-
Tribal Healthcare Operations Consultant
1 week ago
Phoenix, Arizona, United States Blue Stone Strategy Partners Full timeJob OverviewREPORTS TO: Director of Tribal Healthcare ServicesLOCATION: RemoteFLSA STATUS: ExemptCompensation: Minimum base salary of $74,059; includes business development incentives. Compensation above the minimum salary will be determined by experience.Status: Full-TimePosition SummaryThe Tribal Healthcare Operations Consultant is primarily responsible...
-
Instructional Designer-Healthcare
4 weeks ago
Phoenix, United States Rainmakers Strategic Solutions Full timeJob DescriptionJob DescriptionJob Title: Instructional Designer and Multimedia DeveloperJob Overview:Rainmakers Strategic Solutions, LLC, a certified SBA 8(a), and Economically Disadvantaged Women-Owned Small Business (EDWOSB), is looking to expand capabilities in comprehensive Stakeholder Training and Program Support initiatives in support of federal...
-
Healthcare Appointment Manager
4 days ago
Phoenix, Arizona, United States Arizona Official Website of State of Arizona Full timePosition Overview: This role is pivotal in managing the scheduling of patient appointments within specialty clinics as well as coordinating with external medical providers. The individual will be tasked with securing prior authorizations for medical procedures and ensuring accurate tracking of appointment attendance. Effective communication with various...
-
Healthcare Relationship Manager
1 week ago
Phoenix, Arizona, United States Center for Orthopedic and Research Excel Full timePosition OverviewThe Center for Orthopedic and Research Excel is seeking a dedicated Healthcare Relationship Manager to foster connections within the medical community and enhance patient engagement.Key Benefits:Comprehensive Health & Welfare BenefitsHealth Savings Account (HSA) with qualifying High Deductible Health Plans (HDHP) and company...
-
Project Manager
3 weeks ago
Phoenix, United States LTIMindtree Full timeAbout Us:LTIMindtree is a global technology consulting and digital solutions company that enables enterprises across industries to reimagine business models, accelerate innovation, and maximize growth by harnessing digital technologies. As a digital transformation partner to more than 700+ clients, LTIMindtree brings extensive domain and technology expertise...