About the position
At UnitedHealthcare, we are dedicated to simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here will have a significant impact on the lives of millions, as we strive to build a more responsive, affordable, and equitable health care system. As a Senior Healthcare Economics Consultant, you will be part of our Network Intelligence team within the Healthcare Economics group. This team collaborates with internal business partners to enhance healthcare delivery financing and maximize member discounts through comprehensive modeling, forecasting, and analysis. Your role will involve supporting network development and managed care contracting efforts by providing custom analyses of both proprietary and public data. The team possesses a diverse range of expertise, including provider negotiations, financial analysis, provider reimbursement, and health care claims. In this position, you will have the flexibility to work remotely from anywhere within the U.S. as you tackle challenging tasks. Your primary responsibilities will include reviewing various sources of competitive data, such as physician claim data and Transparency in Coverage (TIC) data, to identify competitor reimbursement rates, structures, and trends. You will analyze data to trend and forecast UnitedHealthcare’s competitive position by provider, prepare presentations, and present findings to business partners. Additionally, you will provide meaningful interpretations within your area of expertise, collaborate with team members to develop conclusions, and create ad hoc analyses and innovative solutions. Your business writing skills will be essential in clearly and concisely explaining relevant analysis findings, while you will also be responsible for developing best practice processes and results in a rapidly changing healthcare environment.
Responsibilities
• Review various sources of competitive data/intel, including physician claim data and Transparency in Coverage (TIC) data to identify competitor reimbursement rates, structure, and trends.
,
• Analyze data to trend and forecast UnitedHealthcare’s competitive position by provider.
,
• Prepare presentations and present findings to business partners.
,
• Provide explanations and meaningful interpretations within area of expertise.
,
• Collaborate with team members to develop conclusions.
,
• Create ad hoc analysis, reporting, and innovative solutions.
,
• Use business writing skills to explain relevant analysis findings clearly and concisely.
,
• Develop best practice processes and results based on the rapidly changing healthcare environment.
Requirements
• Bachelor’s degree or relevant work experience.
,
• 2+ years professional data analysis, interpretation, synthesis, and presentation experience.
,
• Physician contract negotiation or physician financial modeling experience.
,
• Intermediate or advanced level of expertise in MS Excel (formulas, sorting, filtering, formatting, v-lookups, etc.).
,
• Proven excellent written and verbal communication skills.
,
• Proven excellent critical thinking skills and attention to detail.
,
• Proven ability to work in a fast-paced, virtual team-oriented environment.
Nice-to-haves
• Experience with Transparency in Coverage data.
,
• Experience analyzing and manipulating large sets of healthcare data (i.e., identifying trends and patterns).
,
• Knowledgeable of healthcare costs and quality topics.
,
• Experience with Microsoft SQL Server – SSRS/SSIS/SSMS, or PowerBI.
Benefits
• Comprehensive benefits package
,
• Incentive and recognition programs
,
• Equity stock purchase
,
• 401k contribution