UnitedHealth Group Senior Healthcare Economics Consultant - Fraud Waste and Abuse - Telecommute in Dallas, Texas
No industry is moving faster than health care.
And no organization is better positioned to lead health care forward than UnitedHealth Group.
We need attention to every detail with an eye for the points no one has considered.
The rewards for performance are significant.
. This requisition is to fill a position in support of Performance Management for our Fraud Analytics area.
Primary focus area is the detection and prevention of fraud, waste and abuse for professional claims, through rules-based analytics, as well as other analytic detection engines.
These analytics maximize claim payment accuracy, overpayment recovery, and education of our provider community.
To ensure optimal performance and accuracy, existing analytics are refined based on performance feedback and to adhere to regulatory compliance for updated code sets.
As the Senior Health Care Economics Consultant, you will perform critical research and investigation of key business problems.
Using phenomenal analytical skills, you will develop and improve quantitative data. As a technical subject matter expert, you will extract, interpret and analyze data from various sources. There are new challenges and bigger rewards around every turn.
Now is the time, and this the place where you'll find a career in which you can make a big difference in our company, our industry, even our world.
And start doing your life's best work.
(sm) Primary Responsibilities: Gather and prepare analysis based on information from internal and external sources to evaluate and demonstrate program effectiveness and efficiency Develop scalable reporting processes and querying data sources to conduct ad hoc analyses Ability to develop complex coding and manual workarounds Research complex functional issues using a variety of resources Develop and prepare highly complex reports and provide and/or interpret information and data across divisions and departments Assume responsibility for data integrity among various internal groups and/or between internal and external sources Provide source system analysis Ability to utilize various statistical analysis methodologies to validate performance trending and results Required Qualifications: Bachelor's degree or equivalent work experience Recent experience in a position focusing on data reporting and analysis to include root cause analysis 4+ years of experience in health care analytics and working with large data sets to include healthcare claims and member data Experience with healthcare performance measurements Must have SAS and SQL programming skills to read and write programs, queries, data manipulation, and troubleshoot independently At least an Intermediate level of proficiency working with MS Excel including formulas, calculations, charts, graphs, etc. Tableau development experience (publisher) Preferred Qualifications: Experience working directly in Fraud Waste and Abuse analytics 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) 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: healthcare informatics, provider data analyst, medical claims, member data, statistics, Fraud Waste and Abuse, Eden Prairie, MN, Minnesota, Wauwatosa, WI, Wisconsin, Dallas, TX, Texas, Franklin, TN, Tennessee, Cleveland, OH, Ohio, Birmingham, AL, Alabama e23e4618-162c-4b7d-837d-994133387921
Senior Healthcare Economics Consultant - Fraud Waste and Abuse - Telecommute Minnesota-Eden Prairie 734408