Regional Medical Economics Director - Phoenix, AZ or Minnetonka, MN or Telecommute

Are you ready to deliver bold, business-savvy solutions to help millions live healthier lives? UnitedHealth Group is where some of the most innovative ideas in health care are created every day. As the Regional Medical Economics Director you will lead the team performing critical research and investigating key business issues in order to find viable, real-world solutions in a complex health care landscape. You will manage a team that interprets and analyzes clinical data to proactively identify, communicate and lead organizational dialogue related to health care opportunities and risks. You'll interact with senior leadership with a focus on performance to achieve business objectives. This is where your bold ideas will write the next chapter in health care. This is the place to do your life's best work.(sm)
 
Positions in this function 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 market Health Plan leaders.
 
Primary Responsibilities:


Lead and direct Regional C&S  Medical Economics team of managers and analysts including shared service business partners

Lead trend analytics to identify root cause issues to support the monthly clinical close process and potential remediation opportunities within Network, Payment Integrity, Clinical, and Quality including focus nationally on DSNP and LTC

Work with segment finance teams and affordability leads to standardize reporting, scorecards, metric definitions and drive affordability improvements in the local markets

Develop tiering models (clinical performance and quality) integrating key data points from other matrix partners to evaluate network and clinical performance on a continual basis

Evaluate new market expansion opportunities and provide analytic support and direction to the new market teams; new market checkbook and clinical managed care assumptions

Support provider settlement process by analyzing exposure and developing estimates in conjunction with cross functional team including UHN, Legal, and Operations

Required Qualifications:


Bachelor's degree (Finance, Statistics, Accounting, Economics, Computer Science, Healthcare Informatics, Actuarial Science)

5+ years of healthcare analytics / finance / economic experience

2+ years of experience leading large multi-level analytic teams

Experience executing and delivering on strategic analytical initiatives within a large matrixed environment

Proficient working with MS Excel including advanced formulas, pivot tables, macros, lists, statistical functions, etc.
Preferred Qualifications:

Experience interfacing with senior executives on a regular basis
Advanced level proficiency with SQL, SAS and/or other statistical programs
Master's degree
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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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