Some people take things as they come. Others relentlessly push themselves to go farther. Combine health care and technology, which are two of the fastest-growing fields on the planet, with UnitedHealth Group's culture of performance, collaboration and opportunity and this is what you get: industry - leading health care services at a company that's improving the lives of millions. As the Health Care Economics Consultant you will design and develop reports and analyze data to measure clinical outcomes, network performance and methodology levers. You will investigate key business problems through quantitative analyses of utilization and health care costs data. As the Consultant, you will interpret and analyze clinical data from various sources and recommend best approaches for its consolidation. Your analyses will be used to create viable, real - world solutions in a complex health care landscape. The work is as challenging as it is rewarding. You'll open doors to new opportunities. This is where bold people with big ideas are writing the next chapter in health care. Join us. There's never been a better time to do your life's best work.(sm) Primary Responsibilities: Interpret and analyze claims, premium, capitation and membership data in support of Underwriting, Actuarial and utilization analyses Lead projects to completion by contributing to database creation, statistical modeling and financial reports Create and update automated processes within client databases Analyze reporting tools utilized by the internal customer groups Design innovative solutions to complex data issues surrounding CMS Risk Adjustment Methodology Validate complex financial restatement process used in forecasting risk adjustment factors and revenue projection Create SQL data base tools to highlight anomalies in large datasets, efficiently marginalizing financial projection liability Support data automation projects by testing business logic and verifying results
Required Qualifications:Bachelor's degree or equivalent work experience 4+ years of work experience in a corporate setting 1+ years of health care experience working with claims data and medical codes Proficiency in performing data analytics At least intermediate with SQL At least a beginner level of proficiency with MS Access At least an intermediate level of proficiency working with MS Excel including formulas, calculations, charts, graphs, etc.Position is located in Santa Ana, CA. Must work On-Site.Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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) 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: Health Care Economics Consultant, claims data, medical codes, data analytics, SQL, SAS, Santa Ana, CA, California
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.