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Health Care Economics Consultant - Santa Ana, CA

UnitedHealth Group


Location:
Santa Ana, CA
Date:
06/23/2017
2017-06-232017-07-22
Job Code:
1760820
Apply on the Company Site
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Job Details


Health Care Economics Consultant - Santa Ana, CA(Job Number:720321)
Description

Some people take things as they come. Others relentlessly push themselves to go farther. Combine health care and technology, which are two of the fastest-growing fields on the planet, with UnitedHealth Group's culture of performance, collaboration and opportunity and this is what you get: industry - leading health care services at a company that's improving the lives of millions.
 
As the Health Care Economics Consultant you will design and develop reports and analyze data to measure clinical outcomes, network performance and methodology levers. You will investigate key business problems through quantitative analyses of utilization and health care costs data. As the Consultant, you will interpret and analyze clinical data from various sources and recommend best approaches for its consolidation. Your analyses will be used to create viable, real - world solutions in a complex health care landscape. The work is as challenging as it is rewarding. You'll open doors to new opportunities. This is where bold people with big ideas are writing the next chapter in health care. Join us. There's never been a better time to do your life's best work.(sm)
 
Primary Responsibilities:
  • Interpret and analyze claims, premium, capitation and membership data in support of Underwriting, Actuarial and utilization analyses
  • Lead projects to completion by contributing to database creation, statistical modeling and financial reports
  • Create and update automated processes within client databases
  • Analyze reporting tools utilized by the internal customer groups
  •  Design innovative solutions to complex data issues surrounding CMS Risk Adjustment Methodology
  • Validate complex financial restatement process used in forecasting risk adjustment factors and revenue projection
  • Create SQL data base tools to highlight anomalies in large datasets, efficiently marginalizing financial projection liability
  • Support data automation projects by testing business logic and verifying results

Job Healthcare Econ & Analytics
Primary Location US-CA-Santa Ana
Other Location 
Organization Optum Ops-Risk Adjustment
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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