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Sr. Healthcare Economics Consultant

2 months ago

Plymouth, United States Optum Full time

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 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.

The primary role of the Sr Healthcare Economics Consultant - SQL Analyst - is to design and develop an effective and high-quality Reporting Suite that meet business requirements. This position will execute analysis and reporting processes, drive operational excellence, and identify potential areas for clinical cost improvements. Daily responsibilities include working with cross-functional clinical and operational teams to determine reporting needs, translating reporting requirements to technical specifications, developing reports as well as ensuring accurate and timely completion of deliverables. Technical abilities include data analysis using advanced SQL as well as following Business Intelligence (PowerBI) best practices, data management, issue resolutions, security and content administration, performance tuning and quality assurance.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Develops reporting suite that supports medical management - utilization management, clinical cost reduction, process adherence and KPI measures
  • Understands clinical programs, identifies appropriate reporting solutions and approaches
  • Understands data structure and content, performs detailed data analysis, writes complex SQL queries to identify trend drivers, medical cost trends, membership trends, and distributes data for forecast reporting and decision making
  • Follows data visualization best practices, creates and maintains report development related templates and artifacts
  • Ensures high quality output, perform validations and detailed data analysis, drives report development and validation processes
  • Demonstrates solid analytic and communication skills to build a portfolio of dashboards
  • Proactive and diligent in identifying and communicating design and development issues and recommending potential solutions


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:

  • 5+ years of Healthcare prior authorization and census domain knowledge in a data warehouse environment
  • 5+ years of Data Visualization (PowerBI, Tableau, Cognos, Business Objects or similar) and experience developing reports using Power BI
  • 5+ years of SQL (Oracle, SAS, SQL Server, Teradata or similar), including complex queries and stored procedures

Preferred Qualifications:

  • Agile Scrum/Kanban, work experience in Rally
  • Code versioning tools, work experience in GitHub
  • Demonstrated ability to meet tight deadlines, follow development standards and effectively raise critical issues with potential solutions
  • Demonstrated excellent verbal and written communication skills, with demonstrated ability to present ideas and concepts to senior leadership

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

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.