Sr. Healthcare Economics Consultant, Risk Adjustment Analytics – Telecommute

UnitedHealth Group
Published
September 15, 2021
Location
Atlanta, GA
Category
Job Type

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.(sm)

As the Optum Care National Risk Adjustment Healthcare Economics Team, we support all risk adjustment efforts across our enterprise, primarily focused on Medicare Advantage Risk Modeling. We are internal analytics partners who provide expertise to our finance, clinical operations, accounting and market teams to identify coding gaps, assess opportunity, forecast, and analyze risk. If you eat, breathe, and sleep risk adjustment like we do, then this is the right place for you! If you’re not a risk adjustment expert, but hungry, driven and willing to learn, we will help you become one of the best in class experts in the field. 
As a Senior Healthcare Economics Consultant, you will help lead key efforts around risk score forecasting, revenue assessment, predictive suspecting, program evaluations, and strategic guidance related to Medicare Advantage Risk Adjustment.  
The role also requires the knowledge and ability to access data, construct and manipulate large datasets to support planned analyses, use SQL, as well as the ability to visualize and present findings.  

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

Primary Responsibilities:

  • Assist in leading complex analytic projects leveraging data from multiple sources 
  • Understand and apply highly technical specifications to healthcare datasets 
  • Serve as key healthcare economics and analytics contact for local, regional and national OptumCare leadership and key national finance and operations stakeholders
  • Multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, meet deadlines, and manage a project from start to finish
  • Develop full understanding of CMS guidelines and specifications as it relates to Medicare Advantage and Risk Adjustment
  • Identify and implement appropriate analytic approaches and methodologies
  • Design, produce and support development of dashboards and key performance indicator reports to meet customer requirements
  • Leverage and coordinate enterprise-wide capabilities to meet business-specific needs
  • Communicate results to relevant audiences, seek and apply feedback into future iterations, and new analytic development

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:

  • Degree in Economics, Statistics, Finance, Health Administration, Mathematics or related field and 3+ years of advanced analytics experience  
  • Solid analytical expertise: data analysis, statistical analysis, data manipulation, data extraction and reporting  
  • Intermediate proficiency with SQL and/or other data manipulation and statistical tools 

Preferred Qualifications:

  • Experience synthesizing analysis into actionable and easy to digest insights 
  • Experience measuring impact and ROI of operational programs and services  
  • Experience working with healthcare data 
  • Experience in predictive modeling, data manipulation, reporting, and analysis 
  • Advanced to expert proficiency with SQL, SAS, and/or other data manipulation and statistical tools 
  • Advanced data visualization skills
  • Expert Knowledge of CMS regulations and specifications in regard to Medicare Advantage risk adjustment 
  • Knowledge of healthcare administrative data (medical claims, enrollment, provider data)  
  • Demonstrated capability in driving business result through modeling and segmentation implementation, analysis and refinement  
  • Excellent written and verbal communication skills with the ability to communicate effectively with leaders across the organization and external customers

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)

Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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 drugfree workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Sr Healthcare Economics Consultant, Risk Adjustment Analytics, Analytics, Data Analysis, Statistical Analysis, Data Manipulation, SQL, SAS, Data Visualization, CMS, Healthcare Data, Work At Home, Remote, Work From Home, Telecommute, Telecommuter, Eden Prairie, Minnesota, MN 

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