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Hours Full-time, Part-time
Location Pittsburgh, PA
Pittsburgh, Pennsylvania

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. As the Health Care Economics Consultant 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. As the Consultant, you will interpret and analyze clinical data from various sources and recommend best approaches for its consolidation.Your analyses will be used to create viable, real-world solutions in a complex health care landscape. 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)

Primary Responsibilities:

Interpret and analyze claims, premium, capitation and membership data in support of Underwriting, Actuarial and utilization analyses
Lead projects to completion by contributing to database creation, statistical modeling and financial reports
Create and update automated processes within client databases
Analyze reporting tools utilized by the internal customer groups
Reviews the work of others
Develops innovative approaches
Sought out as expert
Serves as a leader / mentor
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. Provides data in support of actuarial, financial and utilization analyses

Requirements

Required Qualifications:

Bachelor's degree or equivalent work experience
3+ years of work experience in a corporate setting
1+ years of health care experience working with claims data and medical codes 
Proficiency in performing data analytics
Intermediate level with Sybase
At least an intermediate with SQL, ORACLE or other statistical programs
At least an intermediate level of proficiency working with MS Excel including formulas, calculations, charts, graphs, etc
Preferred Qualifications:

Experience with Oracle & Sybase
Experience with Crystal Business Objects reporting
Experience with Microstrategy
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: 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: healthcare economics, consultant, claims data, medical codes, analytics, Philadelphia, Pittsburgh, PA, Pennsylvania, Sugar Land, TX, Texas, Phoenix, AZ, Arizona