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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
Advisory Services Senior Consultant
Location
United States
Posted
108 days ago
Salary
0
No structured requirement data.
Job Description
Advisory Services Senior Consultant
UnitedHealth Group
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This position will be responsible for scoping, analysis, and delivery of analytics-oriented projects. - Assist in the maintenance and support of the Normalized Pricing product, including product releases, updates, and collaboration with different teams to synchronize the algorithm across various platforms - Work with clients to coordinate data requests and submissions - Provide data analytics processing support according to project specifications either individually or through collaboration with other subject matter experts - Support customers for Normalized Pricing, including product implementation and consultation, coordinating data requests and submissions, making recommendations, performing pricing, analyzing, and explaining results, identifying issues, and providing solutions - Compile, structure, and present results to customers through spreadsheet reports and additional analytical deliverables, including data visualizations, while explaining key findings, insights, and implications - Partner with applicable stakeholders to identify and implement operational efficiencies and assess the operational impact of changes within defined solutions - Engage in the development of new products and solutions to enhance revenue growth opportunities including using AI to streamline processes and work efforts - May require on occasion working nights and weekends for client support and/or production releases Qualifications - 4+ years working with and analyzing medical health care data. Must be familiar with claim structure, data components and relationships that contribute to reimbursement. Pharmacy health care data is a plus - 4+ years of solid SQL experience, preferably in MS SQL Server environment with knowledge of database maintenance, ETL, and experience with complex scripts - 2+ years of experience with CMS Prospective Payment System (PPS) frameworks and reimbursement methodologies (e.g., DRG, APC, RBRVS, Per Diem), with solid knowledge of Commercial, Medicare, and/or Medicaid payment models - 2+ years of proven experience with utilizing Artificial Intelligence to either streamline processes, improve a product/solution or similar - Proven solid written and verbal communication skills, with keen attention to detail and the ability to effectively present complex information to both technical and executive audiences Requirements - Experience with Python, Apache Spark, Cloud Computing and Databricks - Intermediate to Advanced Proficiency level of skill in Excel. Knowledge of VBA - Proven excellent data quality assessment skills. Must be able to leverage knowledge of UB and CMS claims to quickly identify problems within a submitted claims dataset - Proven excellent data analysis skills and a demonstrated ability to assess patterns, trends, and behaviors within large health care claims populations - Proven ability to work independently while proactively identifying issues and developing effective solutions Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
Job Requirements
- 4+ years working with and analyzing medical health care data. Must be familiar with claim structure, data components and relationships that contribute to reimbursement. Pharmacy health care data is a plus
- 4+ years of solid SQL experience, preferably in MS SQL Server environment with knowledge of database maintenance, ETL, and experience with complex scripts
- 2+ years of experience with CMS Prospective Payment System (PPS) frameworks and reimbursement methodologies (e.g., DRG, APC, RBRVS, Per Diem), with solid knowledge of Commercial, Medicare, and/or Medicaid payment models
- 2+ years of proven experience with utilizing Artificial Intelligence to either streamline processes, improve a product/solution or similar
- Proven solid written and verbal communication skills, with keen attention to detail and the ability to effectively present complex information to both technical and executive audiences
- Experience with Python, Apache Spark, Cloud Computing and Databricks
- Intermediate to Advanced Proficiency level of skill in Excel. Knowledge of VBA
- Proven excellent data quality assessment skills. Must be able to leverage knowledge of UB and CMS claims to quickly identify problems within a submitted claims dataset
- Proven excellent data analysis skills and a demonstrated ability to assess patterns, trends, and behaviors within large health care claims populations
- Proven ability to work independently while proactively identifying issues and developing effective solutions
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (all benefits are subject to eligibility requirements)
- Application Deadline
- This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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