Sr. Healthcare Economic Analyst - Pittsburgh, PA and Minnetonka, MN

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:


Review and validation of network optimization files

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

Assesses and interprets customer needs and requirements

Identifies solutions to non-standard requests and problems

Solves moderately complex data issues and/or performs moderately complex analyses for ad hoc health plan requests

Translates concepts into practice, utilizing UHN contract guidelines and department policies and procedures

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

Provides data in support of actuarial, financial and utilization analyses

Present findings of network optimization files to health plan leadership

Analysis of revenue and medical expenses to determine root cause of potential outliers

Review financial data by analyzing results, monitoring variances and identifying trends

Completion of physician scorecards according to terms of value based contracting agreements and to be presented to the Health Plan  

Prepare target models in support of UHN requests, following contracting guidelines

Perform standard Model and Scorecard peer reviews

Prepare and submit monthly accrual estimates to accounting

Decision making authority

Assists lead for market, major tasks or projects
 

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 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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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: mid-level health care economics job, math, data analysis, reporting, quantitative analysis, health care, SQL, SAS, analytics, claims, programming, economics, financial data, SQL, Pittsburgh, PA, Pennsylvania, Minnetonka, MN, Minnesota
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