SR HEALTHCARE ECONOMICS CONSULTANT, NETWORK PRICING - REMOTE
Company: UnitedHealth Group
Location: Richardson
Posted on: October 8, 2024
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Job Description:
Optum is a global organization that delivers care, aided by
technology to help millions of people live healthier lives. The
work you do with our team will directly improve health outcomes by
connecting people with the care, pharmacy benefits, data and
resources they need to feel their best. Here, you will find a
culture guided by diversity and inclusion, talented peers,
comprehensive benefits and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start Caring.
Connecting. Growing together. -This role within Optum Health's
Healthcare Economics Network Strategy & Analytics Department.
-Candidate is responsible for producing their own quality work
product, but also supports the design & development of new standard
work products, refined processes for scaling analytics across
markets, and overall data organization that supports our business
goals. Candidate should have solid verbal skills, solid written
communication skills and demonstrate self-motivation, initiative,
and adaptability in a fast-paced environment.This role primarily
supports and validates provider and payor network contracting and
trend management activities through financial or pricing modeling,
negotiation support, analysis, and reporting. The team and this
role manage unit cost budgets, reimbursement benchmarking, target
setting, performance reporting, maintenance of associated financial
models, and other responsibilities as assigned.You'll enjoy the
flexibility to work remotely * from anywhere within the U.S. as you
take on some tough challenges. -Primary Responsibilities: -Design
and implement sound tools utilizing programming languages, Tableau
or other resources to identify principal health care cost and
revenue drivers, by market segment and/or by provider/payor,
referral patterns, and reimbursement ratesDevelop, evaluate, and
provide consultative analytics to support negotiations for
value-based arrangements, provider incentives, and fee-for-service
contracts (hospital, physician, and ancillary)Evaluate financial
impacts of network configurations across hospital, ancillary and
physician provider typesDetermine credibility and usability of data
prior to delivery of analytic resultsBuild solid relationships
within the organization including financial, actuarial, local
market contracting, network contracting, and clinical operations
areasYou'll be rewarded and recognized for your performance in an
environment that will challenge you and give you clear direction on
what it takes to succeed in your role as well as provide
development for other roles you may be interested in. -Required
Qualifications: -5+ years of professional experience, of which 3+
years focused healthcare analyticsExperience modeling/pricing of
large sets of raw medical claims dataIntermediate or greater
proficiency in MS-SQL (utilize and edit existing queries, create
new queries, including joins and case statements)Advanced
proficiency in Excel including advanced formulas and
pivotsPreferred Qualifications: -Experience creating and editing
Tableau work productExperience with CMS and Commercial fee for
service reimbursement methodologies*All employees working remotely
will be required to adhere to UnitedHealth Group's Telecommuter
Policy -California, Colorado, Connecticut, Hawaii, Nevada, New
Jersey, New York, Rhode Island, Washington, or Washington, D.C.
Residents Only: The salary range for this role is $88,000 to
$173,200 annually. Pay is based on several factors including but
not limited to local labor markets, education, work experience,
certifications, etc. UnitedHealth Group complies with all minimum
wage laws as applicable. In addition to your salary, UnitedHealth
Group offers benefits such as, a comprehensive benefits package,
incentive and recognition programs, equity stock purchase and 401k
contribution (all benefits are subject to eligibility
requirements). No matter where or when you begin a career with
UnitedHealth Group, you'll find a far-reaching choice of benefits
and incentives. Application Deadline: This will be posted for a
minimum of 2 business days or until a sufficient candidate pool has
been collected. Job posting may come down early due to volume of
applicants.At UnitedHealth Group, our mission is to help people
live healthier lives and make the health system work better for
everyone. We believe everyone-of every race, gender, sexuality,
age, location and income-deserves the opportunity to live their
healthiest life. Today, however, there are still far too many
barriers to good health which are disproportionately experienced by
people of color, historically marginalized groups and those with
lower incomes. We are committed to mitigating our impact on the
environment and enabling and delivering equitable care that
addresses health disparities and improves health outcomes - an
enterprise priority reflected in our mission. - -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. -Brand: OptumHealth Cross-PlatformJob
ID: 2240125Employment Type: Full-timeJob Area: Health Care
OperationsFunction: Healthcare - OtherIndustry: Direct
Health/Medical Insurance Carrier
Keywords: UnitedHealth Group, Fort Worth , SR HEALTHCARE ECONOMICS CONSULTANT, NETWORK PRICING - REMOTE, Professions , Richardson, Texas
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