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UnitedHealth Group Healthcare Economics Consultant -Network Pricing/ Hospital Contracting - Remote in Ontario, California

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 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.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Provide support and analyses of provider contracting (hospital, ancillary, pharmacy, physician) and unit cost management activities

  • Create detailed financial and network pricing models

  • Perform regular and repeatable data extraction, aggregation, and quality checking from multiple sources and tables in support of trend identification, root cause analysis

  • Asses and interpret business requirements and propose technical solutions

  • Identify solutions to non-standard requests and problems

  • Solve moderately complex problems and/or conduct moderately complex analyses

  • Work with minimal guidance; seek guidance on complex tasks

  • Translate concepts into practice

  • Provide explanations and information to others on data availability, content and interpretation

  • Research data quality questions; present findings; and suggest solutions as necessary

  • Create custom data extracts and aggregation processes in support of one time studies

  • Participate in projects by contributing to database creation, maintenance, and enhancement

  • Create reporting tools to investigate sources of variations

  • Produce and review reports

You’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:

  • 2+ years of experience in health care data analytics

  • 2+ years of experience with provider payment methodologies (i.e. fee for service or capitation)

  • 1+ years of health care experience working with claims data and medical coding

  • 1+ years of experience in network pricing OR finance experience

  • Experience tracking trends, finding variances and developing reports in excel

  • Experience building financial and pricing models in excel

  • Experience working with large data sets

  • Advanced level of proficiency working with MS Excel

  • Basic proficiency with SQL

Preferred Qualifications

  • Hospital pricing and cost driver research and analytics experience

  • Proven to be detail-oriented self-starter, critical thinker, with analytic skills and evidence of creative, proactive problem solving

  • Proven ability to effectively manage multiple priorities

*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, Washington, D.C. Residents Only: The salary range for this role is $70,200 to $137,800 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.

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