Job details
Job type full-time
Full job description
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you getLeading edge technology in an industry that`s improving the lives of millionsHere, innovation isn`t about another gadget, it`s about making health care data available wherever and whenever people need it, safely and reliablyThere`s no room for errorJoin us and start doing your life`s best work.(sm)
You’ll enjoy the flexibility to telecommute* from anywhere within the u.sAs you take on some tough challenges.
Primary responsibilities:
Critical member helping implement the optum care payment integrity data acquisition and analytics strategy
Assist in implementing systems to aggregate and analyze claims data across multiple adjudication platforms
Develop analytics to identify and correct aberrant provider payments
Perform ad hoc analysis on medical expense trend and/or locally identified questions
Partner with reporting, healthcare economics, clinical affordability to research emerging payment issues
Produce and audit monthly savings reporting and forecasting process
Monitor pi performance and establish benchmark reporting
Continually identify and deploy new edits and algorithms to drive incremental savings
Works closely with cross capability teams throughout solution development lifecycle from design to implementation and monitoring
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:
Bachelor’s degree in health care administration, business administration or a related field (4 additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor’s degree)
10+ years of experience in leveraging or enabling analytics/data science expertise to solve business problems in the healthcare industry
Experience leading initiatives and projects
Healthcare/managed care industry experience
Demonstrated excellent analytical and problem solving, including the ability to disaggregate issues, identify, root causes, and recommend solutions
Proven skills in translating analytics output to actionable recommendations
Preferred qualifications:
Graduate/post-graduate degree with a strong quantitative backgroundCandidates with background in statistics, economics, econometrics, computer science, engineering, mathematics, or master’s in business administration
Experience or exposure to payment integrity, fraud waste & abuse, clinical or non-clinical audit operations
Demonstrated success in developing and leading strategy, high level tactical planning, and establishing and leading teams
Ability to communicate complex concepts verbally and in writing
Ability to work on multiple client engagements
Experience managing a team of data analysts, with proven success to mentor, guide, develop and grow the team
Excellent communication and presentation skills with ability to organize and present information to suit the needs and understanding of the audience
Excellent interpersonal skills and the ability work with cross functional teams
Unitedhealth group requires all new hires and employees to report their covid-19 vaccination status.
Careers with optum Here`s the ideaWe built an entire organization around one giant objective; make health care work better for everyoneSo 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 serveOptum, 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 potentialFor you, that means working on high performance teams against sophisticated challenges that matterOptum, incredible ideas in one incredible company and a singular opportunity to do your life`s best work.(sm)
Colorado residents only: the salary range for colorado residents is $110,200 to $211,700Pay is based on several factors including but not limited to education, work experience, certifications, etcIn 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.
*all telecommuters will be required to adhere to unitedhealth group’s telecommuter policy.
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 workplaceCandidates are required to pass a drug test before beginning employment.
Job keywords: payment integrity analytics director, telecommute, telecommuter, telecommuting, work at home, work from home, remote
