UnitedHealth Group Senior Healthcare Economics Consultant (Risk Adjustment Analytics) in Eden Prairie, Minnesota
As the Optum Care National Risk Adjustment Healthcare Economics Team, we support all risk adjustment efforts across our enterprise, primarily focused on Medicare Advantage Risk Modeling.
We are internal analytics partners who provide expertise to our finance, operations, accounting, and market teams to identify coding gaps, assess opportunity, forecast, and analyze risk.
If you eat, breathe, and sleep risk adjustment like we do, then this is the right place for you! If you’re not a risk adjustment expert, but hungry, driven, and willing to learn, we will help you become one of the best in class experts in the field. As a senior healthcare economics consultant, you will help lead key efforts around risk score forecasting, revenue assessment, predictive suspecting, program evaluations, and strategic guidance related to Medicare Advantage Risk Adjustment.
The role also requires the knowledge and ability to access data, construct and manipulate large datasets to support planned analyses, use SQL, SAS, or similar tools, as well as the ability to visualize and present findings.
The ideal candidate will also have working knowledge of best in class forecasting techniques and modeling.
Primary Responsibilities: Assist in leading complex analytic projects leveraging data from multiple sources Understand and apply highly technical specifications to healthcare datasets Serve as key healthcare economics and analytics contact for local, regional, and national OptumCare leadership and key national finance and operations stakeholders Multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, meet deadlines, and manage a project from start to finish Develop full understanding of CMS guidelines and specifications as it relates to Medicare Advantage and Risk Adjustment Identify and implement appropriate analytic approaches and methodologies Develop and manage advanced forecast models Design, produce, and support development of financial and operational dashboards and key performance indicator reports to meet customer requirements Leverage and coordinate enterprise-wide capabilities to meet business-specific needs Communicate results to relevant audiences and incorporate results into forecasting process and reporting Required Qualifications: Degree in Economics, Statistics, Finance, Health Administration, Mathematics, or related field and 4+ years of advanced analytics experience Strong analytical expertise; Data analysis, statistical analysis, data manipulation, data extraction, and reporting required Excellent written and verbal communication skills, with the ability to communicate effectively with leaders across the organization and external customers Preferred Qualifications: Knowledge of CMS regulations and specifications in regards to Medicare Advantage Risk Adjustment Knowledge of healthcare administrative data (medical claims, enrollment, provider data) Demonstrated capability in driving business results through modeling and segmentation implementation, analysis, and refinement Experience with SQL, SAS, and/or other statistical programs Experience using advanced data visualization skills using BI tools like Tableau 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: risk adjustment analytics, healthcare economics, modeling, forecasting, coding, finance, revenue assessment, program evaluations, strategy, data, SQL, SAS, Eden Prairie, MN, Minnesota a37a89a8-dca2-4acd-bf93-fe82324b162f
Senior Healthcare Economics Consultant (Risk Adjustment Analytics) Minnesota-Eden Prairie 765033