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Healthcare Economic Consultant - Multiple Locations

UnitedHealth Group

Eden Prairie, MN
Job Code:
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Job Details

Healthcare Economic Consultant - Multiple Locations(Job Number:715256)

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm)


The Healthcare Economic Consultant position requires a strong analytical skillset, data analysis and healthcare claims expertise (HCFA/UB) and will involve learning about solutions to detect incorrectly paid claims for all UHC segments (Medicare, Medicaid and Commercial) and claim platforms.  The role is responsible for utilizing all data mining tools (i.e. SAS, Self Service, SQL, Excel, etc.) to complete complex healthcare data queries to identify aberrancies, trends, outliers within claim data.   This role will focus on developing medical concepts in partnership with our Analytic and Operation partners to identify and research potential claims hypotheses; size concepts for potential opportunity and savings; and when confirmed, present the findings for solution approval.  This position requires excellent communication skills in partnership with our client.  An understanding of healthcare payment methodologies and policies as well as coding is recommended.


Primary Responsibilities:

  • Researching and developing potential claim overpayment hypotheses

  • Responsible for utilizing data mining tools (i.e. SQL, Access, Excel) in order to analyze data to support of their hypothesis

  • When opportunity is confirmed, the analyst will present the findings for solution approval in a clear and concise manner utilizing data reports and summaries to support their concept

  • An understanding of healthcare payment methodologies and policies as well as coding is necessary


Job Healthcare Econ & Analytics
Primary Location US-MN-Eden Prairie
Other Location United States, US-MD-Frederick, US-TN-Franklin
Organization OI Payment Integrity
Schedule Full-time
Number of Openings 1
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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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