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Hours Full-time, Part-time
Location Maryland Heights, MO
Maryland Heights, Missouri

About this job

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)
As the Senior Healthcare Economics (HCE) Consultant you will support and validate provider network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting including value based contracting arrangements (i.e. Shared Savings, Risk Models, Accountable Care Organizations). The Senior HCE Consultants conduct contract valuation analysis using large sets of utilization and cost data in support of network contracting negotiations as well as on-going medical/cost trend identification. This position within HCE Network Pricing will interact frequently with United Health Networks, United Clinical Services, HCE Medical Informatics, Healthcare Providers, and others to support the analytic needs for executed agreements and negotiations in the Central Region. 
  
Primary Responsibilities: 

Interpret and analyze financial and clinical data from various sources and recommend best approaches
Provide claims, provider, and membership data in support of affordability, trend, and utilization analyses
Predict emerging customer needs and develop innovative solutions to meet them
Research and investigate key business problems through quantitative analyses of utilization and healthcare cost data.
Develop and manage to business plans that include both clinical and financial objectives
Translate highly complex concepts and conclusions in ways that can be understood by a variety of audiences
SAS Programming
Resource to senior leadership
Develop pioneering approaches to emerging industry trends

Requirements


Required Qualifications: 

Bachelor’s degree
4+ years of experience in a corporate setting
3+ years proficiency in financial and/or clinical healthcare analytics
At least an intermediate level of proficiency in MS Excel including formulas, calculations, charts, graphs, pivot functions
At least an intermediate level of proficiency with SASCareers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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.

Job Keywords:  Senior Healthcare Economics Consultant, Missouri, MO, Telecommute, Remote, Work from Home