Healthcare Economics Consultant - Green Bay, WI or Telecommute

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

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)

You'll enjoy the flexibility to telecommute* from anywhere within the U.S., preferably in Green Bay, WI, as you take on some tough challenges.

Primary Responsibilities:
  • Support data management and reporting and analytics nationally for 20M Employer and Individual fully insured commercial and self-funded members
  • Design innovative business intelligence reporting tools/dashboards to drive business decision making, size Affordability savings estimates and track/monitor Affordability initiatives
  • Maintain and utilize SAS-based HHS Risk adjustment model to prodcue monthly rish scores
  • Perform comprehensive, detailed user acceptance testing for various data source changes due to platform migrations
  • Leverage new technology to help modernize and evolve the reporting tools
  • Retrofit reporting and analytics toolsets to point to new data warehousing solution
  • Independently write SAS and/or SQL programming code to extract, aggregate and statistically analyze data from various sources
  • Perform comprehensive, detailed user acceptance testing of pre-migrated data history and post-migrated/new business USP (United Strategic Platform) data; provide recommendations for testing sign off
  • Manipulate high-volume and high-dimensionality data from varying sources to identify patterns, anomalies, relationships, and trends
  • Reconcile large volumes of data between various data sources and Financials
  • Manage work that is hands-on, project-oriented, self-directed, less structured, and complex
  • Work independently and collaboratively with internal customers to deliver technical solutions that add business value and yield actionable recommendations
  • Drive communications with all key stakeholders
  • Improve and extend the analytic methods and capabilities of our current solutions, algorithms, and business processes
  • Research and investigate key business problems through quantitative analyses of utilization and healthcare costs data
  • Provides management with statistical findings and conclusions
  • Identifies potential areas for medical cost improvements and alternative pricing strategies
  • Provides data in support of actuarial, financial and utilization analyses
  • Reviews the work of others
  • Develops innovative approaches
  • Sought out as expert
  • Serves as a leader/mentor

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:
  • Undergraduate degree or equivalent experience.
  • 2+ years of medical and/or retail pharmacy claims data analysis; understanding of varied data nuances across disparate source systems. Broad understanding of common data enrichments including service category derivation, inpatient/outpatient confinement building, utilization counting, etc.
  • 1+ years of hands-on computational problem-solving experience in a healthcare environment including extracting data from large relational databases; understanding medical codes; and working with structured and unstructured, claims, enrollment, and provider data
  • 1+ years of SAS and/or SQL programming experience with demonstrated expertise in data manipulation, data visualization, statistical analysis, and financial model building
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

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)

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

Colorado Residents Only: The salary range for Colorado residents is $64,800 to $116,000. 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

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.

Job Keywords: Healthcare Economics Consultant, Green Bay, WI, Wisconsin, Telecommute , Remote, Work from Home