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Healthcare Economic Consultant - PA or MN

UnitedHealth Group

Pittsburgh, PA
Job Code:
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Job Details

Healthcare Economic Consultant - PA or MN(Job Number:706358)

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

  • Serves as subject matter expert to a health plan or specific critical job function

  • Lead other analysts on specific project or job function

  • Review and validation of network optimization files

  • Complete of physician scorecards according to terms of VBC agreements and present to Health Plan

  • Review Clinical Integration scorecards and present to health plan

  • Prepare payment request submissions based on scorecard results

  • Prepare target models in support of UHN requests, following contracting guidelines

  • Perform more complex Model and Scorecard peer reviews

  • Submit monthly accrual estimates to accounting

  • Lead for market, major tasks or projects

  • Trains lower level analysts

  • Reviews work of others and provides feedback


Job Healthcare Econ & Analytics
Primary Location US-PA-Pittsburgh
Other Location US-MN-Minnetonka
Organization E&I HCE Network Pricing
Schedule Full-time
Number of Openings 2
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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