Job Description
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start
Caring. Connecting. Growing together. We are searching for a
Healthcare Economics Consultant to join our experienced team. This creative role offers an excellent opportunity to directly impact an innovative function and secure your future with an industry leader This position will provide analytic support and consultation to local market health plans related to the modeling, analysis, and administration of healthcare expenditures and revenues.You will investigate key business problems through quantitative analyses of utilization and health care costs data. The individual will interpret and analyze clinical data from various sources and recommend best approaches for its consolidation and presentation to senior leaders. Your analyses will be used to create viable, real-world solutions in a complex health care landscape.
If you are located within the EST time zone, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities: - Interpret and analyze claims, premium, capitation and membership data in support of utilization analyses
- Lead projects to completion by contributing to database creation, statistical modeling and financial reports
- Create and update automated processes
- Analyze reporting tools utilized by the internal customer groups
- Research and investigate key business problems through quantitative analyses of utilization and healthcare costs data
- Quickly understand and run with vague ad hoc analytical requests from internal organizational leaders and deliver the information in a concise, meaningful way
- Identifies potential areas for medical cost improvements and alternative pricing strategies in collaboration with the leadership team, key functional (clinical, network, actuarial and payment integrity) leaders and local Plan leaders
- Provides data in support of actuarial, financial, utilization and clinical analyses
- Communicate with impact on statistical findings and conclusions
- Reviews the work of others
- Develops innovative approaches
- Sought out as expert
- Serves as a leader/ mentor
What are the reasons to consider working for UnitedHealth Group?Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: - Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
- More information can be downloaded at:
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: - Bachelor's Degree in Healthcare Administration, Actuarial Math, Statistics, Economics or in a related field OR 3+ years of experience in an analytics capacity and evidence of creative, proactive problem solving
- 3+ years of health care experience working with claims data and medical codes
- Intermediate level of proficiency working with MS Excel including formulas, calculations, charts, graphs, etc.
- Intermediate level proficiency in performing data analytics
- Intermediate level proficiency with SQL, SAS and/or other statistical programs
Preferred Qualifications: - Experience with a Managed Care Organization and/or working with Medicaid population
- Understanding and experience working with quality improvement standards such as NCQA, HEDIS, CAHPS, and CMS
Soft Skill s:
- Effective verbal and written communication skills
- Ability to effectively manage multiple priorities
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Connecticut, New York, New Jersey, Rhode Island, or Washington, D.C. Residents Only: The hourly range for Connecticut, New York, New Jersey, Rhode Island, or Washington, D.C. residents is $70,200 to $137,800 per year. 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.
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.
#Green #RPO
Job Tags
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