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Assoc Director, Healthcare Economics - Remote Pacific or Mountain Time Zones

Company: UnitedHealth Group
Location: Orlando
Posted on: September 24, 2022

Job Description:

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) Reporting to the Director of Healthcare Economics, the Associate Director will be responsible for unit cost management of facility contracts for AZ, NV, UT and ID. In addition to, you'll also be executing and managing advanced financial modeling and strategies and ensuring that integral information tools are up to date. If you are located in the Pacific or Mountain Time Zones, you will have the flexibility to telecommute as you take on some tough challenges. Primary Responsibilities:

  • Develop and execute strategies for healthcare economics - hospital and ASC (Ambulatory Surgical Center) unit cost management that spans multiple markets/sites
  • Independently identify, investigate and communicate cost and utilization patterns for inefficiencies and potential opportunities in attributed member populations to help reduce overall total cost of care
  • Provide consultative advice on use of medical cost and membership data as subject matter expert and interpret/summarize analytical findings
  • Evaluate financial impacts of network configurations across hospital and ASC provider type
  • Work with cross-functional teams across the organization to make strategic decisions supported by data
  • Serve as subject matter expert on data, reporting and methodologies supporting our contracts and relationships
  • Resolve business problems and direct others to resolve business problems that affect multiple functions or disciplines
  • Manage others to resolve business problems that affect multiple functions or disciplines
  • Influence decisions about product, service or process decisions that will impact multiple functions and/or customer accounts (internal or external)
  • This role will involve external meetings, and some travel, to negotiate with providers, share performance results and explain complex financial models
  • Influence pricing strategies and network configuration decisions using a data driven approach
  • Coordinates requests for analysis from internal and external clients including assignment, mentoring, and establishing timelines 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:
    • Undergraduate degree
    • 5+ years of analytical experience in financial analysis, health care pricing, network management, health care economics or related discipline
    • 5+ years of experience with provider payment methodologies and health care products and expert level of proficiency in performing financial impact analysis, risk management and data manipulation
    • 5+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools using financial modeling to evaluate the impact of contract changes and develop forecasts
    • 2+ years of supervising and/or mentoring and influencing others
    • Highly proficient in Commercial, Medicare, and Medicaid FFS payment methodologies and contractual payment language for hospital and ancillary services
    • Aware of concepts of Medicare, Commercial, Medicaid and ACA risk adjustment, percent of premium contracting, and impacts on pricing
    • Expert level of proficiency in performing financial impact analysis, risk management, and claims data manipulation
    • Expert level of proficiency in MS Excel and well versed in PowerPoint
    • Successful cross function leadership experience
    • Proficient written and verbal communication skills including negotiating and presenting
    • Able and willing to travel 10%+/- depending on business need
    • Reside in the West Region area (Pacific or Mountain time zones)
    • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation Preferred Qualifications:
      • Postgraduate degree
      • Experience with Commercial, Medicare, and Medicaid PPO and HMO revenue, expense, P&L concepts, and capitated delegation financial modeling
      • 1+ year of experience working with large databases to produce a focused analysis with proficiency in SAS/SQL for data manipulation and reporting
      • Beginner to moderate proficiency in Power BI, Tableau or other analytic visualization software
      • Experience with advanced statistical functions for financial modeling To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm) All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado/Connecticut/Nevada residents is $97,300 to $176,900. 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. 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, Orlando , Assoc Director, Healthcare Economics - Remote Pacific or Mountain Time Zones, Executive , Orlando, Florida

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