Associate Director of Healthcare Economics - Remote

Company: UnitedHealth Group
Location: San Francisco
Posted on: November 18, 2023

Job Description:

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start -Caring. Connecting. Growing together. -

The UHC Medicare and Retirement Healthcare Economics team leads and influences decision making for the Medicare and Retirement line of business. The primary focus of the team is to complete financial evaluations and drive value through the identification and forecasting of medical affordability opportunities.

The UHC Medicare and Retirement Healthcare Economics Team also helps the broader UHC business understand the impact of operational changes on our finances and explain trends in our claims data. The team identifies and prioritizes efforts, advancing these initiatives to deliver value at speed. We partner with UHC leaders in areas such as Operations, Product, Payment Integrity and Clinical to accomplish results as a team. The Healthcare Economics team fosters a diverse group of professionals who are leading and working as part of larger teams from across the UnitedHealth Group enterprise.

The environment is challenging and fast-paced, requiring flexibility, and a willingness to stretch and learn. Team members are expected to have a high level of energy, a collaborative mindset, a passion for driving demonstrable value at speed, and solid critical-thinking skills.

As the Associate Director of Healthcare Economics, you will lead the evaluation of large data sets and guide projects from conceptualization to completion by contributing to the creation of meaningful datasets, financial modeling, reporting, and monitoring. You will lead and mentor a team of actuarial analysts to conduct analyses and create models to summarize the financial and operational performance of utilization and cost management programs, with a focus in the area of Payment Integrity. The Associate Director will need to routinely explain complex, technical topics with a tailored communications approach that recognizes each audience has a different background and level of understanding. You will be responsible for creating and growing relationships between the Healthcare Economics team and operational partners within the Clinical, Network, and most importantly, Payment Integrity space. -

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. - - -

Primary Responsibilities: -

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• Manage and develop actuarial analysts in the ideation and design of claims-based analyses through SAS/SQL in order to create models for analyzing business opportunities and interpreting key drivers of health care trends (i.e. medical cost, utilization, etc.)
  
• Be the Medicare and Retirement Finance point of contact for Payment Integrity communications and analysis and be responsible for the execution of Healthcare Economics' strategy surrounding Payment Integrity
  
• Develop a suite of tools to summarize operational impact of PI activities, including performance relative to expectations
  
• Using data analytics/querying software (SAS/SQL), effectively summarize quantitative and qualitative analyses to a wide range of business partners
  
• Apply solid critical thinking and listening skills to anticipate questions from key stakeholders and consider all aspects of an analysis before completion
  
• Create and grow external relationships with the finance, product, payment integrity and clinical teams as well as other areas to create a connection between medical trend evaluations and financial results
  
• Be a modeling expert, with the ability to measure, model, and forecast current clinical and payment integrity affordability programs and size new opportunities.
  
• Take ownership of ambiguous concepts or opportunities and completing analysis with limited supervision
  
• Be a creative disrupter with a growth mindset to collaboratively reimagine the way that we operate to generate value
  
  
  You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. -Required Qualifications: -
  
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  • Bachelor's degree in Finance, Math, Statistics, Actuarial Science, Economics, or a related degree
    
  • 4+ years of experience with performing claims-based healthcare data analytics
    
  • 2+ years of financial modeling of medical spend
    
  • Proven intermediate level of proficiency with MS Excel for data analytics (Pivot tables, advanced formulas, Vlookups, etc.)
    
  • Demonstrated track record of developing cross-functional relationships while acting as a SME or department representative -
    
  • Experience working with large data sets
    
  • Demonstrated experience communicating with various levels of management
    
    
    Preferred Qualifications: - -
    
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    • Advanced degree
      
    • 4+ years of work experience in a corporate setting -
      
    • Management experience
      
    • Actuary
      
      
      *All employees working remotely will be -required -to adhere to UnitedHealth Group's Telecommuter Policy - -
      
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      California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $101,200 to $184,000 per year. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. -
      
      At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. - - - -
      
      
      Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. - - - - - -
      
      UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. - - -

Keywords: UnitedHealth Group, San Francisco , Associate Director of Healthcare Economics - Remote, Accounting, Auditing , San Francisco, California