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Eden Prairie

    Senior Healthcare Economics Consultant - Eden Prairie, United States - Optum

    Optum
    Optum Eden Prairie, United States

    3 weeks ago

    Optum background
    Regular, Full time
    Description

    Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.

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

    Primary Responsibilities:

    • Analyze provider reimbursement arrangements, design, and implement sound tools and applications to efficiently measure, monitor and forecast revenue from payers and reimbursement to providers.
    • Evaluate financial impacts of network configurations across hospital, ancillary and physician provider types.
    • Comfortable working with large and imperfect data sets making reasonable assumptions along the way.
    • Concisely summarize and communicate the results of complex analytics.
    • Work with cross-functional teams across the organization to make strategic decisions supported by data.

    This position will require an understanding of product pricing portfolio, and fee-for-service contract analysis. Candidate should have demonstrated ability working within cross-functional teams and working with senior leadership. Successful candidates will have strong people, project, change and data management skills. 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:

    • Bachelor's degree in applicable area of expertise or equivalent experience.
    • 5+ years of experience in an analytical healthcare capacity involving claim detail and claim analytics
    • Knowledge of Physician FFS reimbursement methodologies.
    • Intermediate skill level with SAS and/or SQL
    • MS Excel Advanced skillset, creating Excel dashboards

    Preferred Qualifications:

    • 5+ years of experience in healthcare finance, network analytics, performing analysis on large sets of facility and professional claim data for a payer/health plan or provider/care delivery system.
    • Experience working with FFS methodology, Shared Risk and Savings models, Accountable Care activities including opportunity identification and communication.
    • Advanced proficiency working with queries, familiarity with at least one of the following business intelligence and statistical tools - MS-SQL, SAS, and Tableau.
    • Solid verbal and written communication skills
    • Demonstrated self-motivation and initiative

    UnitedHealth Group is working to create the health care system of tomorrow.

    Already Fortune 5, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

    Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

    Come to UnitedHealth Group and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

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