Director Healthcare Economics - Telecommute

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)As the Optum Care National Risk Adjustment Healthcare Economics Team, we support all risk adjustment efforts across our enterprise, primarily focused on Medicare Advantage Risk Modeling. We are internal analytics partners who provide expertise to our finance, operations, accounting and clinical leads to identify coding gaps, assess opportunity, forecast, and analyze risk. If you eat, breathe, and sleep risk adjustment like we do, then this is the right place for you! If you’re not a risk adjustment expert, but hungry, driven and willing to learn, we will help you become one of the best-in-class experts in the field.As a director, and Risk Adjustment thought leader, you will help lead key efforts around Medicare Advantage Risk Adjustment data, reporting, financial forecasting, and analytic development.The role also requires expert knowledge of the CMS Medicare Advantage payment models, and expert knowledge of data access, construction, and manipulation of large datasets to support planned analyses, using SQL, SAS or similar tools. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Lead a highly skilled technical team that analyzes data to drive risk adjustment analytics for Medicare Advantage, Individual & Family Plans and other product linesCollaborate with business stakeholders, to understand analytics needs, develop strategies to address those needs, and oversee execution of planned analytics and reporting Engage with national and regional stakeholders to provide data driven insights regarding risk performance, opportunities, and priorities for performance improvementLead and advise on the development and implementation of “best in class” processes, tools, and capabilities to support data reconciliations to limit data leakage and drive bi-directional gap closure effortsOversee production of clear and concise summaries of analytical findings for easy consumption by a variety of audiences through an assortment of media: presentations, email summaries, executive summaries, and verbal discussionsEducate stakeholders of various knowledge levels, on the topic of Risk Adjustment, from various vantage points; the clinical, operational, as well as financialOversee the operationalization of reporting and creation of flexible architecture that can support tremendous growth and evolving KPIsLeverage and coordinate enterprise-wide capabilities to meet business-specific needsYou’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:Degree in Economics, Statistics, Finance, Health Administration, Mathematics or related field and 7+ years of healthcare analytics experience Knowledge of the CMS Risk Adjustment models and applicability as it relates to revenue cycle analytics and forecastingAnalytic expertise: data analysis, data manipulation, data extraction and reporting Expert proficiency with SQL, SAS, and/or other statistical programsExperience working with healthcare dataExperience managing a small team (less than 5 direct reports) Preferred Qualifications:Proficiency with advanced forecasting techniquesKnowledge of CMS regulations and specifications beyond Medicare Advantage risk adjustmentExperience supporting Finance focused teamsExperience in predictive modeling, data manipulation, reporting, and analysisExperience in driving business result through modeling and segmentation implementation, analysis and refinement Experience synthesizing analysis into actionable and easy to digest insightsExperience measuring impact and ROI of operational programs and services 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 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 Group’s Telecommuter Policy.Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado/Connecticut/Nevada residents is $113,500 to $218,100. 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. Brand: OptumHealth Cross-PlatformJob ID: 2084251Employment Type: Full-timeJob Area: Health Care Operations