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Healthcare Economic Consultant - Multiple Locations
| Hours | Full-time, Part-time |
|---|---|
| Location | Wauwatosa, WI Wauwatosa, Wisconsin |
About this job
Some people take things as they come. Others relentlessly push themselves to go farther. Combine health care and technology, which are two of the fastest-growing fields on the planet, with UnitedHealth Group's culture of performance, collaboration and opportunity and this is what you get: industry-leading health care services at a company that's improving the lives of millions. The work is as challenging as it is rewarding. You'll open doors to new opportunities. This is where bold people with big ideas are writing the next chapter in health care. Join us. There's never been a better time to do your life's best work.(sm)
The Healthcare Economic Consultant position requires a strong analytical skillset and healthcare claims expertise (HCFA/UB) and will involve learning about solutions to detect incorrectly paid claims for all UHC segments (Medicare, Medicaid and Commercial) and claim platforms. The role involves researching potential claim overpayment hypotheses and when confirmed, presenting the findings for solution approval. An understanding of healthcare payment methodologies and policies as well as coding is recommended.
Requirements
Required Qualifications:
- 3+ years of experience in healthcare
- 3+ years of data analysis experience
- 3+ years of experience with claims processing or adjudication systems (such as UNET, COSMOS, Facets, Diamond, etc. or provider billing/coding knowledge on Professional and Facility claims)
- Proficiency with MS Excel and PowerPoint
- Knowledge of Medicare, Medicaid and/or Commercial health plan and payment methodology
Preferred Qualifications:
- Bachelor's degree or equivalent experience
- Knowledge of UHC systems as well as desk top applications
- Ability to identify payment errors regardless of the claim system by reviewing data and possessing claims coding experience
- Ability to breakdown a complex problem into individual root causes
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to 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.
Job Keywords: data analysis, claims, health care, mid-level health care economics job, math, data analysis, reporting, quantitative analysis, health care, SQL, SAS, analytics, claims, programming, economics, Franklin, TN, Tennessee, Eden Prairie, MN, Minnesota, Wauwatosa, WI, Wisconsin