The Healthcare Economics Consultant is responsible for researching and investigating key business problems through quantitative and statistical analyses of utilization and healthcare cost data. The key areas of focus for this role include the identification of potential medical cost saving opportunities and the effectiveness of health management initiatives.
Primary Responsibilities:
- Serves as healthcare economics/analytics consultant for national and local market projects
- Solves complex problems and develops innovative sustainable solutions
- Works with minimal guidance; seeking guidance on only the most complex tasks
- Collects, analyzes and performs quality assurance on analytic initiatives that consume data from multiple sources
- Performs statistical and trend analyses to determine effectiveness of clinical programs
- Works with a variety of teams to identify areas of opportunity in order to drive financial performance of programs
- Provides consistent and timely communication on projects, results and conclusions from analyses
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.
**Please Note** – The office is based in Las Vegas, NV – but we will consider telecommuting if you have strong experience. However, you must be available to work the following hours: 8:00 am – 5:00 pm Pacific Time.
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 Economics, Statistics, Finance or Health Administration or related field
- 1+ years of experience in health care analytics
- 1+ years of experience using SQL query techniques to access relational databases
- Ability to interpret and review financial modeling results to evaluate the financial impact of contract changes and develop forecasts
- Experience with provider payment methodologies and healthcare products
- Experience working in an Enterprise Data Warehouse environment or multiple source data warehouse
- Proficiency with BI tools such as MicroStrategy as well as Microsoft Office suite (Excel, Access, Word, PowerPoint)
Preferred Qualifications:
- Familiarity with Medicare Risk Adjustment
- Experience with medical coding (CPT, ICD-9, ICD-10, etc.)
- Strong verbal and written communication skills, including the ability to present ideas and concepts effective
- Ability to interact effectively with different business departments, team members, and external clients at all levels
- Strong communication skills, written and verbal
- Excellent critical thinking and problem solving skills
- Ability to deal with ambiguity and drive results
- Desire to make an impact, manage multiple tasks, and shift priorities quickly
OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment
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