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Senior Healthcare Economics Consultant - Fraud Waste and Abuse - Telecommute U.S.

UnitedHealth Group

Eden Prairie, MN
Job Code:
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Senior Healthcare Economics Consultant - Fraud Waste and Abuse - Telecommute U.S.(Job Number:726655)

No industry is moving faster than health care. And no organization is better positioned to lead health care forward than UnitedHealth Group. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. . 


This requisition is to fill a position in support of Performance Management for our Fraud Analytics area. Primary focus area is the detection and prevention of fraud, waste and abuse for professional claims, through rules-based analytics, as well as other analytic detection engines. These analytics maximize claim payment accuracy, overpayment recovery, and education of our provider community. To ensure optimal performance and accuracy, existing analytics are refined based on performance feedback and to adhere to regulatory compliance for updated code sets.


As the Senior Health Care Economics Consultant, you will perform critical research and investigation of key business problems. Using phenomenal analytical skills, you will develop and improve quantitative data.  As a technical subject matter expert, you will extract, interpret and analyze data from various sources.  


There are new challenges and bigger rewards around every turn. Now is the time, and this the place where you'll find a career in which you can make a big difference in our company, our industry, even our world. Join us. And start doing your life's best work. (sm) 


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

  • Ability to develop complex coding and manual workarounds

  • 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

  • Ability to utilize various statistical analysis methodologies to validate performance trending and results



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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