Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. Here you'll develop and execute the strategies that impact our ability to help people live healthier lives. As a Manager of Healthcare Economics, you will guide your team to identify potential areas for medical cost improvements and alternative pricing strategies. You will perform critical research and investigation of key business problems. Your analyses will create viable, real-world solutions within the complex health care landscape. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) Primary Responsibilities: Managing team production and meeting departmental turnaround times, ensuring the accurate and timely completion of algorithms Maintaining and developing employees, trend identification, working with our matrix partners, monitoring claim inventory, issue resolution and technical solutions related to data, data flow and algorithm development
Required Qualifications: Bachelor's degree or equivalent experience 5+ years managed care and/or claim experience 6+ years of medical claims auditing experience Intermediate to advanced level of experience with ExcelPreferred Qualifications: Self - driven, ability to work independently and facilitate change Excellent critical thinking and problem solving skills Strong financial analysis skills and knowledge of statistical calculation and interpretation Excellent written and verbal communication skills Possess excellent time management and prioritization skills in order to meet multiple deadlines Comfortable working in a high - paced / high production areaCareers 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) 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: Manager of Healthcare Economics, managed care, claims, auditing, Franklin, TN, Tennessee
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.