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Sr Healthcare Economics Consultant
3 months ago
Caring. Connecting. Growing together.
You've been working your way to this opportunity for some time now. You've learned to lead. You've build a deep expertise in health care network operations. You've set your sights on having more impact in more ways.
It's time to join our leadership team and help UnitedHealth Group meet the challenge of shaping where health care will go.
We're driving ever higher levels of sophistication in how provider networks are composed and compensated. Your expertise in provider networks can help us build in the next phase of evolution.In this role, you'll use your knowledge and analytical skills to help determine how clinical providers group up by specialty and service line.
As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Central or Eastern time zone locations preferred
Primary Responsibilities:
Interpret and analyze claims, capitation, membership data, and recommend best approaches in support of underwriting, actuarial and utilization analyses
Lead projects to completion by contributing to database creation, statistical modeling and financial reports
Performs complex data validation and conceptual analyses.
Create and update automated processes within client databases
Analyze reporting tools utilized by the internal customer groups
Serves as subject matter expert to health plans in support of value based contracting strategy
Provides management with statistical findings, explanations, and conclusions
Reviews data extraction and analytics of other analysts on the team
Interpret and analyze data and recommend best approaches
Performs complex data validation and conceptual analyses
Lead projects to completion by contributing to data analysis and financial reporting
Prepare and oversee target models in support of customer requests, following contracting guidelines
Complete and oversee physician scorecard reports according to terms of VBC agreements and present to Health Plan
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:
4+ years of experience in an analytics capacity and evidence of creative, proactive problem solving
Experience in the healthcare insurance industry preferably with previous exposure to medical claims data
Intermediate or higher level of proficiency with MS Excel and PowerPoint including Pivot Tables, SUMIFS, SUMPRODUCT, and VLOOKUPs
Beginner or higher level of proficiency with SQL, SAS, R and/or other statistical programs
Proven ability to effectively manage multiple priorities
Preferred Qualification:
Medicaid experience
Familiarity with SMART or other claims platform
Proven excellent communication skills
*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, or
Washington 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.
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.#J-18808-Ljbffr
