Senior Healthcare Economics Analyst - Telecommute

Why work for the leading organization in health care to help improve the lives of millions? You'll find that this is no small opportunity on our Health Care Economics team. 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. As the Health Care Economics Analyst, you will design and develop reports and analyze data to measure clinical outcomes, network performance and methodology levers. You will investigate key business problems through quantitative analyses of utilization and health care costs data. Along with your team, you will identify potential areas for medical cost improvements and alternative pricing strategies. You will help heal the health care system as you work with an elite team to solve tough challenges. Join us. And start doing your life's best work.(sm)

Primary Responsibilities:

• Provide claims, premium, capitation and membership data in support of underwriting, Actuarial and utilization analyses


• Identify potential areas for medical cost improvements and alternative pricing strategies 


• Create and update automated processes 


• Analyze reporting tools utilized by the internal customer groups 


• Produce and review reports specific to risk adjustments for various markets


• Prepare baseline target setting models for potential value based contracts


• Ensure quality control on contract log by inputting information on executed new contracts


• Prepare and distribute scheduled scorecards


• Maintain accrual files for impacted plans


• Work with settlement operations group to submit payment requests


• Work with plan Chief Medical Officer, Chief Financial Officer and Medical Economics Director to gain VBC approvals 


• Update medical economics VBC payment logs for clinical integration payments, basic quality models and shared savings models


• Develop innovative approaches to achieve deliverables


• Ad Hoc analysis


• Work in a self-directed, non-prescribed format with other less structured, more complex issues

Required Qualifications:

• Bachelor's degree or equivalent work experience


• 2+ years of work experience in a corporate setting


• At least an intermediate level of proficiency working with MS Excel including formulas, calculations, charts, graphs, etc.


• Basic level of proficiency with Access


• Intermediate level of proficiency in performing data analytics


• Ability to quickly learn and use computer software tools effectively

Preferred Qualifications:

• 2+ years of health care experience

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 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: 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.

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