Job Description

Healthcare Economics Consultant

At UnitedHealthcare, were 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.

Youll enjoy the flexibility to work remotely from anywhere within the U.S. 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 & investigate key business problems through quantitative analyses of utilization & 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
• Develops innovative approaches
• Support for CMO reporting needs for response to CEO, CFO, and State stakeholders including but not limited to monthly trend reporting and analysis, QBR, and ad hoc reporting to respond to stakeholder requests.
• Provide support for Healthcare Quality and Affordability initiatives to reduce trends by participation in implementation projects, workgroups, and audits.
• Create and maintain HP team specific operational reporting and data sharepoints
• Support HP Clinical Operations through collaboration with Network, Quality, and Clinical partners across the continuum to improve population management and member outcomes

Youll 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:

• 3+ years of work experience in a corporate setting
• 3+ years of health care experience working with claims data and medical codes
• Intermediate proficiency in performing data analytics
• Intermediate level proficiency with SQL, SAS and/or other statistical programs
• Intermediate level of proficiency working with MS Excel including formulas, calculations, charts, graphs, etc.
• Proven effective verbal and written communication skills
• Demonstrated ability to effectively manage multiple priorities

Preferred Qualifications:

• Experience with a Managed Care Organization and/or working with Medicaid population
• Experience with Power BI and/or Tableau

All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy

The salary range for this role is $71,600 to $140,600 annually based on full-time employment. 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, youll 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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