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UnitedHealth Group

UnitedHealth Group is looking for a Associate Director Healthcare Economics – Telecommute  #JobPostingsInPagosaSprings #JobPostingPagosaSprings #DirectorJobsPagosaSprings #HealthcareJobsPagosaSprings

As the Associate Director of Health Care Economics, you will lead analysis of payer and provider financial arrangements to include reimbursement contracts, value-based compensation, risk/capitation, and incentive pools. Youll interact with senior leadership with a focus on performance to achieve business objectives. This is where your bold ideas will write the next chapter in health care. This is the place to do your lifes best work.This position will require an understanding of Accountable Care Shared Savings and Risk, product pricing portfolio, and fee-for-service contract analysis. Candidate should have demonstrated ability working within cross-functional teams and working with senior leadership. Successful candidates will have strong people, project, change and data management skills. Candidate should also have demonstrated ability to work in a matrix environment and lead through influence, as well as a history of improving results. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities: Manage the evaluation of payer proposals related to capitation arrangements and value-based contracts. Analyze provider reimbursement arrangements, including capitation, hospital, physician and ancillary contracts. Design and produce incentive pool calculations and reporting for our risk contracts inclusive of processing CMS revenue files, expense from various claims systems, and applying financial terms. Design and implement sound tools and applications to efficiently measure, monitor and forecast revenue from payers and reimbursement to providers. Encourage and promote idea generation in support of health care cost reduction strategies. Identify potential areas for medical cost improvements. Build strong relationships within the organization including financial, actuarial, network contracting and clinical operations areas.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: Bachelors degree in a relevant field 6+ years of financial analytic experience inclusive of performance evaluation and trend drivers. 5+ years of experience in healthcare finance, network analytics, and performing analysis on health data for a payer/health plan or provider/care delivery system. 5+ years of experience working with Shared Risk and Savings models, Accountable Care activities including opportunity identification and communication. 5+ years of experience evaluating Medicare Advantage capitation reimbursement models. 5+ years of experience repricing Medicare facility claims “ DRG, APC, SNF etc. Extremely comfortable working with large and sometimes imperfect data sets. Should be able to identify data gaps and make reasonable assumptions where necessary to summarize the data. Advanced proficiency working with query, business intelligence and statistical tools, include MS-SQL, SAS and Tableau. Solid verbal and written communication skills. Demonstrated self-motivation and initiative. If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.Careers with Optum. Here’s the idea. We built an entire organization around one giant objective; make health care work better for everyone. So 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 serve. Optum, 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 potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.(sm)*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.Colorado Residents Only: The salary range for Colorado residents is $94,500 to $171,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.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.Job Keywords: Dallas, TX, Texas, Telecommute, telecommuter, telecommuting, work from home, work at home, remote, Associate Director Healthcare Economics Recommended SkillsFinanceHealth CareMedicare AdvantageClaimsMedicareTableau (Busines Intelligence Software)Recommended JobsDirector Of Clinical ResearchAtlanta,GaDirector Of Clinical Research, Atlanta,GaAssociate Director Healthcare Economics – TelecommuteUnitedHealth GroupWork From HomeFull-TimeAssociate Director, Network Pricing – TelecommuteUnitedHealth GroupAtlantaAccounts Payable Project Manager (Contract)Vaco ResourcesAtlanta

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