Healthcare Economics Consultant - Remote

UnitedHealth Group•Toledo, OH

2d•$72,800 - $130,000•Remote

About The Position

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 optimized. Ready to make a difference? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Requirements

3+ years of experience in an analytics capacity and evidence of creative, proactive problem solving
2+ years of experience in the healthcare insurance industry with previous exposure to medical claims data
1+ year of experience communicating complex information to senior stakeholders
Intermediate level of proficiency working with MS Excel including Pivot Tables, Charts and complex functions
Intermediate level of proficiency with SQL, SAS, or Snowflake

Nice To Haves

Medicaid managed care experience
Experience using Power BI, Tableau, or other data visualization tools
Experience partnering with cross-functional stakeholders including clinical, operational, network, finance, and market leadership teams
Familiarity working with large healthcare claims databases
Demonstrated intellectual curiosity and a passion for understanding not only what is happening in the data, but why it is happening and how insights can drive meaningful business decisions
Proven ability work independently in ambiguous environments, prioritize competing demands, and drive projects to completion with limited direction
Proven consultative mindset with the ability to ask thoughtful questions, uncover underlying business needs, challenge assumptions appropriately, and influence decision-making through data-driven recommendations
Proven ability to translate complex analytical findings into clear, actionable insights for technical and non-technical audiences
Proven effective verbal and written communication skills
Proven ability to effectively manage multiple priorities

Responsibilities

Serve as the analytical lead for assigned Medicaid market(s), partnering with market, clinical, operational, and finance leaders to identify opportunities and address complex business challenges
Translate ambiguous business questions into actionable analytical approaches, recommendations, and executive-level presentations
Proactively identify emerging trends, performance drivers, risks, and opportunities for deeper investigation
Facilitate discussions with stakeholders to understand underlying business objectives, challenge assumptions when appropriate, and ensure analytical work aligns with decision-making needs
Develop clear, concise narratives that connect analytical findings to business impact, strategic priorities, and potential actions
Interpret and analyze claims, capitation, premium, and membership data, recommending analytical approaches in support of actuarial, financial, utilization, and clinical analyses
Participate in complex projects from problem definition through implementation, contributing to database creation, statistical modeling, financial reporting, and operational insights
Perform data validation, root cause analysis, and conceptual investigations to identify drivers of healthcare cost and utilization trends
Analyze and interpret reporting tools, methodologies, and results utilized by internal business partners and leadership teams
Communicate statistical findings, methodologies, limitations, and recommendations to management and senior leaders in a meaningful and actionable manner
Present analytical findings, trend drivers, risks, opportunities, and strategic recommendations to health plan and senior leadership, translating complex data into clear, actionable insights that support business and clinical decision-making
Review and provide guidance on data extraction, analytical methodologies, and deliverables developed by other team members to ensure accuracy and quality
Develop, standardize, and enhance recurring reporting, dashboards, and analytical frameworks to ensure consistent performance monitoring, data integrity, and efficient delivery of insights across Medicaid markets
Act as a trusted resource to market senior leadership, providing strategic insight and analytical thought partnership on complex business issues