Sign In
 [New User? Sign Up]
Mobile Version

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

UnitedHealth Group

Eden Prairie, MN
Job Code:
Apply on the Company Site
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details

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

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.

Featured Jobs[ View All ]

Featured Employers [ View All ]