• Job Description

  Req#: 2234907

  Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere .

  As a team member of our naviHealth product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home .

  We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

  Why Care Transitions?

  At Care Transitions, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. Care Transitions is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company’s technical vision and strategy.

  The Director of Healthcare Economics is a senior-level, managerial position requiring excellent leadership and communication skills. The position is a key player collaborating with colleagues across the enterprise to increase member experience and improve outcomes while delivering savings to the healthcare system. As a subject matter expert, the Director interprets and analyzes healthcare data from various sources and recommends best practices for aggregation and presentation to customers and approaches to managing healthcare cost and increasing Care Transitions’ efficiency. This position requires sound analytic skills and a robust understanding of the healthcare environment.

  
  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

  
  Primary Responsibilities:

  • Proactively research and investigate key business problems through quantitative analyses of utilization and healthcare cost data
  • Encourage and promote idea generation and best practices in support of the organizational healthcare cost reduction strategies
  • Provide management with unbiased advice and opinions regarding Care Transitions’ medical cost strategy
  • Manage a team and drive a culture that supports the vision and strategy, which includes a focus on data quality, consistency, and alignment
  • Collaborate with data teams to ensure business rules are applied appropriately and data is accurate, current, and available within required timeframes
  • Build solid inter-dependent relationships within the organization as appropriate to maintain alignment of roles and responsibilities – to include actuarial, business development, finance, network, clinical operations and field operations teams
  • Serve as point of contact and subject matter expert regarding healthcare economics and healthcare cost for both internal and external customers
  • Conduct research to define performance metrics and the process for reporting and tracking metrics, affordability, and trend(s)
  • Provide insight and guidance into analytic findings (including root causes and contributing factors - both actionable and not) through clear, professional, and succinct written and oral summaries, tables, charts, reports and/or presentations
  • Develop economic evaluations and ROI calculations for assessing alternate courses of action
  • Identify and help to resolve technical, operational and organizational problems outside own team
  • Perform other duties and responsibilities as required, assigned, or requested

  
  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:

  • 5+ years of individual contributor experience performing analysis on healthcare data (especially claims)
  • 4+ years of leadership and people management experience
  • Extensive experience with healthcare claims and coding data
  • Experience assessing performance and value relative to contractual parameters
  • Experience working in a fast-paced, rapidly changing and growing environment
  • Extensive knowledge of healthcare industry, Medicare Advantage, and Traditional Medicare
  • Advanced level MS Excel for data analysis
  • Proven ability to analyze and identify performance drivers as well as present key insights to manager and senior leadership

  
  Preferred Qualification:

  • Tableau, Power BI, or experience with other analytical tools

  Soft Skills

  • Solid organizational and prioritization skills with an emphasis on efficiency and high-value activities
  • Effective at timely collaboration and communication across multiple teams throughout the organization
  • Solid problem solving and analytical skills

  
  
  *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

  
  California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $122,100 to $234,700 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

  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.

  
  At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

  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.

• About the company

  UnitedHealth Group Incorporated is an American multinational managed healthcare and insurance company based in Minnetonka, Minnesota.

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