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Associate Director, Healthcare Economics
4 months ago
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Manage the evaluation of payer proposals related to Fee For Service (FFS), capitation arrangements and value-based contracts
- Partner with the payer contracting team to manage the modeling and negotiation process, evaluate proposals, and provide guidance to senior leadership on the financial impact and viability of the contract
- Work closely with the Finance and Actuarial teams to translate contract changes/analytics to the financial forecast
- Develop the capabilities and infrastructure necessary to support the growth of the analytics team, contracting entities supported, and advanced analytics
- Design and implement sound tools and applications to efficiently measure, monitor and forecast payor P&L
- Be a subject matter expert on commercial HMO and government sponsored products funding changes, impact to payor contracts, and the overall managed healthcare landscape
- Contributes to building the next generation of analytic professionals and contributes to enterprise-level goals for talent development, diversity, and inclusion
- Demonstrates continuous learning and maintains a highly skilled and engaged workforce by aligning resource plans with business objectives and ensuring performance management guidelines and expectations drive business objectives and results
Required Qualifications:
- Bachelor's degree or 4+ years additional relevant work experience
- 5+ years of experience in healthcare finance or analytics
- 3+ years of experience with payor contracting and value-based compensation programs along the risk continuum with a foundation of reimbursement methodologies, performance improvement and contracting support
- 3+ years of experience in evaluation and use of varying sources of data including data practice management data, other revenue cycle data (claims, encounters), and capitation plan files
- Experience leading teams
- Advanced proficiency working with modeling, query, business intelligence and statistical tools, including Excel and MS-SQL (writing, running, and editing queries)
- ASA or FSA Actuarial Credential
- Medicare Advantage Bid Pricing Tool experience, or familiarity with Medicare Advantage funding and pricing
- Demonstrated intellectual curiosity - ability and willingness to learn new actuarial concepts
- Demonstrated ability to influence, motivate, and correct others in a positive, constructive, and respectful way
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $104,700 to $190,400 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.
