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OCCM / CPH - Healthcare Economic Consultant - TN, MN, or Telecommute

UnitedHealth Group


Location:
Eden Prairie, MN
Date:
03/24/2017
Job Code:
1716128
Apply on the Company Site
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Job Details


OCCM / CPH - Healthcare Economic Consultant - TN, MN, or Telecommute(Job Number:700180)
Description

The Healthcare Economic Consultant position requires a strong analytical skillset and healthcare claims methodology expertise (HCFA / UB) to detect incorrectly paid claims for multiple segments (Medicare, Medicaid and Commercial) and claim platforms. 
 
Primary Responsibilities:
  • Researching and developing potential claim overpayment hypotheses
  • Reviewing data to identify aberrancies, trends, and outliers in claim data
  • Utilizing data mining tools (i.e. SAS, SQL, Access, Excel) in order to analyze data to support of a 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
  • Understanding healthcare payment methodologies and policies as well as coding is necessary

Job Healthcare Econ & Analytics
Primary Location US-MN-Eden Prairie
Other Location US-TN-Franklin
Organization OI Payment Integrity
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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