US
0 suggestions are available, use up and down arrow to navigate them
What job do you want?

Healthcare Economics Analyst - Telecommute job in Atlanta at UnitedHealth Group

Create Job Alert.

Get similar jobs sent to your email

List of Jobs and Events

Apply to this job.
Think you're the perfect candidate?
Healthcare Economics Analyst - Telecommute at UnitedHealth Group

Healthcare Economics Analyst - Telecommute

UnitedHealth Group Work from Home/Remote Full-Time

naviHealth, part of Optum and the UnitedHealth Group family of businesses, combines the talents of our dedicated staff and leading-edge technology to deliver compassionate care to seniors nationwide. With millions of lives touched, we are innovating the way health care is delivered from hospital to home so seniors can lead more fulfilling lives. A career with us means making an impact in the lives of those we serve, including vulnerable populations who benefit from care that is more efficient, more effective and more human. Our environment empowers our team members to elevate our interactions with each other and the experiences we deliver to our patients, giving them more days at home. Join our team, it’s your chance to improve the lives of millions while doing your life’s best work.(sm)

Why naviHealth?

At naviHealth, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care.  naviHealth is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time.   naviHealth is looking to hire a senior-level software engineer with experience building mission-critical service-oriented applications. This role is a key-contributor to the organization and future technologies.  Successful candidates will possess proven experience developing and delivering quality software solutions. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company’s technical vision and strategy.

The Healthcare Economics Analyst supports all analytical needs with respect to a portfolio of client relationships. The Analyst works both collaboratively and independently to complete complex analyses leading to actionable strategic and financial business decisions.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.


Primary Responsibilities:

  • Identify, monitor, and analyze principle health care cost drivers, by market segment and/or by provider, including utilization, referral patterns, and reimbursement rates
  • Research, analyze data, present results, and recommend intelligent solutions to solve problems and address business challenges by applying a knowledge of medical claims analysis, critical-thinking skills, and healthcare experience/expertise
  • Analyze claims, membership, and prior authorization data sources to identify early signs of trends or other issues related to medical care costs and quality of care
  • Structure analytical results in an organized, visual manner to tell a meaningful, actionable story
  • Apply solid critical thinking skills to anticipate questions from key stakeholders and consider all aspects of an analysis before completion
  • Write SQL queries, create end-user reports, and apply varying analytical techniques to solve specific business problems
  • Determine credibility and usability of claims data prior to delivery of analytic results
  • Exhibit initiative in exploring and discovering opportunities to improve corporate performance through data analysis
  • Responsible for ad-hoc client and market requests
  • Interpret contractual language with a clear understanding of business rules and reporting requirements
  • Establish trusting professional relationships with internal senior business customers
  • Maintain alignment of expectations and priorities in autonomous fashion
  • Display and interpret data using visualization tools
  • Perform other duties and responsibilities as required, assigned, or requested

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:

  • Bachelor’s degree in Math, Statistics, Computer Science, or a related field
  • 2+ years of experience or proven ability working as an analyst in the healthcare industry with medical claims, membership, and provider data
  • Experience with Structured Query Language (SQL) 
  • Experience working with and analyzing Medicare and Commercial paid claims data sets; other applicable datasets include Census and Member Eligibility datasets
  • Experience working with large data repositories and/or relational databases
  • Expertise in MS Excel, with proficiency using formulas, PivotTables, linked worksheets, graphing and other reporting and presentation features

Preferred Qualifications:

  • Master’s degree
  • Experience with data visualization tools, such as Tableau
  • Experience in data mining, statistical analysis, and data transformation/manipulation

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

About naviHealth. Being a pioneer in post-acute management and care transitions with 19 years of experience, naviHealth is uniquely positioned to manage patients, improve clinical and financial outcomes, and share risk with payors and providers. We provide clinical service support alongside proprietary technology and advisory solutions that empower health systems, health plans and post-acute providers to navigate care episodes across the continuum, with the goal of reducing waste and improving patient outcomes.

Careers at UnitedHealth Group. We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these select few, we offer the global reach, resources and can-do culture of a Fortune 10 company. We provide an environment where you're empowered to be your best. We encourage you to take risks. And we offer a world of rewards and benefits for performance. We believe the most important is the opportunity to do your life's best work.(sm)

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

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $54,400 to $97,000. The salary range for Connecticut/Nevada residents is $60,000 to $106,700. 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.   

Recommended Skills

  • Analytical
  • Big Data
  • Business Performance Management
  • Claim Processing
  • Clinical Works
  • Consulting
Apply to this job.
Think you're the perfect candidate?

Help us improve CareerBuilder by providing feedback about this job:

Job ID: 2087858

CareerBuilder TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.