UnitedHealth Group is among the most ambitious Fortune 25 companies
you'll ever meet. Through our family of businesses, we're working to
make the health care system perform better for more people, in more
ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here,
you'll be empowered to make an immediate impact for millions of others.
And you'll achieve more than you ever expected. How does that fit with
your plans?
Job Description
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. Ovations is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
Imagine joining a group of professionals and clinicians who are working to improve health care for people over 50. Consider the influence you can have on the quality of care for millions of people. Now, enhance that success with enthusiasm you can really feel.
That's how it is at Ovations. Everyday, we're collaborating to improve the health and well being of the fastest growing segment of our nation's population. And we're doing it with an intense amount of dedication.
We are searching for an analytical professional with a strong healthcare industry and finance background, along with solid SAS and/or SQL skills, to join our growing team. As an analyst within the Healthcare Economics group, you would have a direct impact on cost-effectiveness while creating innovative solutions for our Fortune 50 organization. This is an excellent opportunity to work with complex data structures as you enjoy the perks and advancement opportunities that only a world-class leader can provide, so take your career to the next level...apply today.
Positions in this function research and investigate key business problems through quantitative analyses of utilization and healthcare costs data. The analyst in this role is responsible for validating and reporting the statistical findings and conclusions related to the Medicare Advantage healthcare affordability plan. In addition, this key position is responsible for working with the Finance and Actuarial functions in the forecast and monthly close processes.
Key Responsibilities
- Extract, aggregate and perform quality assurance on applicable data from multiple sources and tables for purposes of the analyzing and reporting the impact of various medical cost reduction initiatives, as well as the validation of external reporting related to affordability programs
- Provide ongoing communications on project status, results and conclusions for the affordability plan
- Communicate overall risks/opportunities to leadership regarding the healthcare affordability commitment, along with the impact on the overall medical expense trend
- Support Finance in the development of medical expense forecasts
- Provide guidance to actuaries in the monthly close process
- Work with IT to build ongoing reporting needs into the production environment.
A successful candidate demonstrates the following capabilities:
- Advanced knowledge of claims-level data (e.g. can identify claims payment accuracy issues within the data)
- Can creatively use large datasets to produce high quality analytics and metrics
- Ability to perform statistical analyses to independently validate medical cost trends
- A combination of solid project management and communication skills, financial acumen, and strong claims level analytic ability
Here, you will discover a culture that grows through challenge. That evolves by being flexible. That succeeds by staying true to our mission to make health care work effectively and efficiently for seniors. Put your best to work for us, and discover extraordinary opportunities for growth.
Job Requirements
Minimum two years Healthcare industry experience, Medicare and/or Medicaid experience preferred
Solid experience in an analytical role or a Master's degree in public health, health administration or an MBA
Knowledge of Medicare reimbursement policies a plus
SQL and/or SAS skills
Microsoft Office proficiency
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.