No industry is moving faster than health care. And no organization is better positioned to lead health care forward than UnitedHealth Group. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. As the Senior Health Care Economics Consultant, you will perform critical research and investigation of key business problems. Using phenomenal analytical skills, you will develop and improve quantitative data analytics and set performance targets for the enterprise. As a subject matter expert, you will interpret and analyze clinical data from various sources and recommend best approaches for its consolidation. You will lead a team in identifying potential areas for medical cost improvements and alternative pricing strategies. There are new challenges and bigger rewards around every turn. Now is the time, and this the place where you'll find a career in which you can make a big difference in our company, our industry, even our world. Join us. And start doing your life's best work.(sm) 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 Provides management with statistical findings and conclusions Identifies potential areas for medical cost improvements and alternative pricing strategies in collaboration with the Regional leadership team, key functional (clinical, network, actuarial and payment integrity) leaders and local Plan leaders Provides data in support of actuarial, financial and utilization analyses Reviews the work of others Develops innovative approaches Sought out as expert Serves as a leader / mentor
Required Qualifications:Bachelor's degree or equivalent work experience 4+ years of work experience in a corporate setting 3+ years of health care experience working with claims data and medical codes Proficiency in performing data analytics At least an intermediate level proficiency with SQL, SAS and / or other statistical programs At least an intermediate level of proficiency working with MS Excel including formulas, calculations, charts, graphs, etc.Preferred Qualifications:Medicaid experience preferredCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near - obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm) 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.
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.