UnitedHealth Group

UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of

Healthcare Economics Director

Location

United States

Posted

2 days ago

Salary

$134.6K - $230.8K / year

Seniority

Lead

No structured requirement data.

Job Description

Healthcare Economics Director

UnitedHealth Group

Role Description The Healthcare Economics Director will oversee analytic functions supporting both Kelsey-Seybold’s health plans and provider group risk contracts. The Director will own the end-to-end analytics and reporting processes related to medical cost and utilization trends. The Director will be a “hands-on” leader who will build out expertise on the team, leveraging data and analytics capabilities, and collaborate with internal and external stakeholders to examine medical cost trends. Their team will also assess the impact of cost reduction initiatives and their effect on reducing short- and long-term medical cost spend. - Provides long-range planning and oversight of healthcare economics teams and functions to ensure activities are appropriately integrated into the strategic direction, as well as the mission and values of the company. - Accountable for the development, production, and analysis of reports and data required to understand the key drivers of the relevant business unit or service line including revenue, utilization, cost trend analysis, and initiative impact. - Recruiting and developing a team of analysts. - Participating as a key member in strategy discussions and meetings with the KS executive team. Qualifications - 10+ years of experience in data analytics, actuarial services, underwriting, or a related field inclusive of: - 8+ years of experience supervising or managing teams and/or projects. - 3+ years of programming experience in SQL, SAS, Python or similar programming language. - Demonstrated knowledge of trend analysis. - Advanced proficiency in Microsoft Excel. - Basic knowledge of Microsoft Power Point and Microsoft Word. - Fluent in English both verbal and written, effective communicator. - High level of accuracy with excellent attention to detail. - Solid organizational and time management skills. - Proven ability to work in a dynamic setting and balance multiple priorities while meeting deadlines. - Superior analytical skills. - Ability to communicate complex information in a clear and concise manner. - Ability to motivate others and function as a working manager. Requirements - Systems experience (i.e. enrollment/eligibility, capitation, claims payment, etc.) with an MCO. - Experience with reporting and visualization tools (including Crystal Reports, Microsoft Access, and Power BI). - Demonstrated knowledge of CMS HCC model and Risk Adjustment calculations. - Demonstrated knowledge of medical insurance products. - Familiarity with EPIC and Clarity reporting data warehouse. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements).

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