Healthcare Economics Consultant - SE Region

Company: UnitedHealth Group
Location: Miramar
Posted on: September 22, 2022

Job Description:

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

What makes your career greater with UnitedHealth Group? Growth opportunities among the variety of product lines and making an impact on the healthcare system ensures it will always be challenging and exciting.

This creative role offers an excellent opportunity to directly impact an innovative function and secure your future with an industry leader. The Healthcare Economics Consultant supports and validates physician incentive / performance based contracting activities through financial and network pricing modeling, analysis, and reporting.

You'll enjoy the flexibility to telecommute* from SE Region or NE Region and possibly Central as you take on some tough challenges.

Primary Responsibilities:

• 
  
• Develop, monitor and evolve the payment incentive model
  
• Work as part of a cross-functional team and interact with external constituencies
  
• Provide data analysis, contract auditing and metrics reporting to management
  
• Perform reconciliations to determine if physicians have met contractual obligations
  
• Translate highly complex concepts in ways that can be understood by a variety of audiences
  
• Advocate for best economics internally and externally
  
• Develop, analyze and monitor new, routine and ad hoc reports
  
• Predict emerging customer needs and develop innovative solutions to meet them
  
• Solve unique and complex problems with broad impact on the business
  
• Develop and manage business plans to achieve objectives
  
• Influence senior leadership to adopt new ideas, products, and / or approaches
  
  
  
  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:
  
  
  • 
    
  • 5+ years of analytical experience in financial analysis, healthcare pricing, network management, healthcare economics, or related discipline
    
  • 3+ years of experience with provider payment methodologies and healthcare products
    
  • 2+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools including experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
    
  • Intermediate level of proficiency in performing financial impact analysis, risk management, and data manipulation
    
  • Advanced level proficiency in MS Excel
    
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
    
    
    Preferred Qualifications:
    
    
    • 
      
    • Undergraduate Degree
      
    • Expert level proficiency in MS Excel
      
    • Knowledge of Tableau
      
    • Knowledge of MS Access and Power Point
      
    • Proven written and verbal communication skills
      
      
      
      To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
      
      
      Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)
      
      Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. 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 drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UnitedHealth Group, Hollywood , Healthcare Economics Consultant - SE Region, Healthcare , Miramar, Florida