Sr Healthcare Economics Consultant - 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

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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

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 healthcare economics consultant, you will support key efforts around risk score forecasting, revenue assessment, predictive suspecting, program evaluations, and strategic guidance related to Medicare Advantage Risk Adjustment.

The role 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 on complex analytic projects leveraging data from multiple sources
  • Understand and apply highly technical specifications to healthcare datasets
  • Multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, meet deadlines, and participate in 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
  • 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
  • 1+ years of analytics experience OR 3+ years of analytics experience
  • Analytical knowledge: data analysis, data manipulation, data extraction and reporting
  • Intermediate proficiency with SQL and/or other data manipulation and statistical tools


Preferred Qualifications:
  • Advanced proficiency with SQL, SAS, and/or other data manipulation and statistical tools
  • Data visualization skills
  • Experience synthesizing analysis into actionable and easy to digest insights
  • Experience measuring impact and ROI of operational programs and services
  • Knowledge of CMS regulations and specifications regarding Medicare Advantage risk adjustment
  • Experience working with healthcare data
  • Excellent written and verbal communication skills with the ability to communicate effectively with leaders across the organization and internal and external customers


UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

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)

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

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. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

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: risk adjustment, Medicare, Medicare Advantage, SQL, CMS guidelines, economics, statistics, data analysis, data extraction, reporting, healthcare data, ROI, data visualization, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote

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