Healthcare Economics Consultant - National Remote

UnitedHealth Group-posted 2 months ago
$71,200 - $127,200/Yr
Mid Level
Remote • Spokane, WA
5,001-10,000 employees
Insurance Carriers and Related Activities
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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

  • Serves as healthcare economics/analytics consultant for national and local market projects
  • Solves complex problems and develops innovative sustainable solutions
  • Works with minimal guidance; seeking guidance on only the most complex tasks
  • Collects, analyzes and performs quality assurance on analytic initiatives that consume data from multiple sources
  • Performs statistical and trend analyses to determine effectiveness of clinical programs (e.g. pre-post analysis, clinical trial results)
  • Works with a variety of teams to identify areas of opportunity to drive financial performance of programs
  • Provides consistent and timely communication on projects, results and conclusions from analyses
  • High School Diploma / GED (or higher)
  • 3+ years of healthcare analytics experience focused on healthcare data, and expertise in data visualization (Tableau, PowerBI or similar), data analysis, data manipulation, data extraction, statistical analysis and reporting in a data warehouse environment
  • 3+ years of experience creating SQL queries including data querying, manipulation and transformation, table creation, complex joins across multiple sources, subquery, indexing, and summary reporting
  • 3+ years of experience/proficiency with MS Excel including PowerPivot, Data Models, DAX, etc
  • 1+ years of experience performing healthcare cost analysis of Medicare Advantage, Commercial, or Medicaid populations
  • 1+ years of experience supporting provider contracting functions including retrospective data analytics, creating models and tools to support physician (professional) negotiation processes, and evaluating overall impact of proposed rate scenarios
  • 1+ years of experience working with basic medical and/or pharmacy claims and provider reimbursement methodologies (knowledge of CPT codes, modifiers, DRGs, Rev Codes)
  • Bachelor's Degree in Economics, Statistics, Finance, Health Administration, Mathematics or related field
  • Proficient in using Tableau (PowerBI or similar)
  • Proficient at query techniques to access complex relational databases to develop sophisticated datasets resulting in insightful analytics
  • Ability to multitask, prioritize, adapt to change, work well in a fast-paced environment, meet deadlines, and manage a project from start to finish
  • Demonstrated ability to meet tight deadlines, follow development standards and effectively raise critical issues with potential solutions
  • Proficient in assessing customer needs and making required enhancements to analyses and dashboards
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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