Are you ready to deliver bold, business-savvy solutions to help millions live healthier lives? UnitedHealth Group is where some of the most innovative ideas in health care are created every day. As the Director of Health Care Economics, you will lead the team performing analysis of payer and provider financial arrangements. You'll interact with senior leadership with a focus on performance to achieve business objectives. This is where your bold ideas will write the next chapter in health care. This is the place to do your life's best work.(sm) Primary Responsibilities: Manage the evaluation of payer proposals related to capitation arrangements and risk- and value-based contracts Analyze provider reimbursement arrangements, including capitation and hospital and physician contractsDesign sound tools and applications to efficiently measure, monitor and forecast revenue from payers and reimbursement to providersEncourage and promote idea generation in support of health care cost reduction strategies Guide your team to identify potential areas for medical cost improvements Build strong relationships within the organization including finance, actuarial, network contracting, and clinical operations areasMentor and develop your teamThis position will require an understanding of Medicare Advantage products, capitation contract analysis, and fee-for-service contract analysis. Position will lead a team of analysts performing evaluation of payer capitation arrangements and provider contracts. Candidate should have demonstrated ability working within cross-functional teams and working with senior leadership. Successful candidates will have strong people, project, change and data management skills. Candidate should also have demonstrated ability to work in a matrix environment and lead through influence, as well as a history of improving results.
Required Qualifications: Bachelor's degree in a relevant field5+ years of experience in healthcare finance, network analytics, and performing analysis on health data3+ years of experience managing a team Advanced proficiency working with MS Excel including advanced formulas, pivot tables, macros, lists, statistical functions, etc.Proficiency working with query, business intelligence and statistical tools, including MS - SQL, SAS, Tableau, SSRS and/or RPreferred Qualifications: Background in Medicare Advantage productsStrong verbal and written communication skillsDemonstrated self-motivation and initiativeCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) 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. Job Keywords: reimbursement, data analysis, contract, SQL, SAS, Tableau, management, leadership, Eden Prairie, MN, Minnesota
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.