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Senior Healthcare Economics Consultant - Coordination of Benefits - Telecommute U.S.

UnitedHealth Group

Eden Prairie, MN
Job Code:
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Senior Healthcare Economics Consultant - Coordination of Benefits - Telecommute U.S.(Job Number:731357)

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 Senior 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)


This requisition is to fill a position the Optum Performance Management in support of our Coordination of Benefits area. The Performance Management team was created to develop, standardize and implement the methodologies required to evaluate and improve the performance of Payment Integrity analytics. The team’s focus is the development of analytic metrics, the analysis of results and the identification of opportunities for false positive reduction in order to increase client savings and improve operational efficiency.


Primary focus area is on Medicare primary payer investigations.  This includes investigation of trends in Health Care data related to member demographics, types of visits, lengths of stay, place of origin vs. place of service, or diagnosis to detect COB opportunity within the post pay data sets. COB clients have recovery opportunity from retrospective claims retraction and prospective savings opportunity by avoiding future claim payment errors.  Claim and member data can be sourced from UHG and external clients.


Primary Responsibilities:

  • Gather and prepare analysis based on information from internal and external sources to evaluate and demonstrate program effectiveness and efficiency

  • Develop scalable reporting processes and querying data sources to conduct ad hoc analyses

  • Research complex functional issues using a variety of resources

  • Develop and prepare highly complex reports and provide and/or interpret information and data across divisions and departments

  • Assume responsibility for data integrity among various internal groups and/or between internal and external sources

  • Provide source system analysis



Job Healthcare Econ & Analytics
Primary Location US-MN-Eden Prairie
Other Location US-WI-Wauwatosa, US-TX-Dallas, US-TN-Franklin, US-AL-Birmingham, US-OH-Cleveland
Organization Optum Ops-Shared Svcs Analytcs
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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