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Job Details

Healthcare Econ Consultant - Remote


Healthcare Network Director


Las Vegas, Nevada, United States

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)

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

Primary Responsibilities

  • Provide claims, premium, capitation and membership data in support of underwriting, Actuarial and various other departments
  • Identify potential areas for medical cost improvements and alternative pricing strategies
  • Create and update automated processes
  • Analyze reporting tools utilized by the internal customer groups
  • Produce and review reports specific to risk adjustment for various markets


  • Has a minimal to moderate level of experience, which is often obtained from training or standard work settings. Requires help when performing this competency in non-standard situations
  • Primary role is Developmental to include:
  • Focus is on developing through on-the-job experience
  • Understands and can discuss terminology, concepts, principles, and issues related to this competency
  • Utilizes the full range of reference and resource materials related to this competency

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 or equivalent work experience
  • 2+ years of experience working with relational databases
  • 1+ years of health care experience working with claims data and medical codes
  • 1+ years of experience in analytics and working with large data sets

Preferred Qualification:

  • Intermediate level of proficiency in performing data analytics
  • Beginner level proficiency with SQL
  • Intermediate level of proficiency working with MS Excel including formulae, calculations, charts, and graphs
  • Ability to quickly learn and use computer software tools effectively
  • Ability to learn quickly and produce high-quality work
  • Comfortable in interactions with various levels of management
  • Solid problem solving and analytical skills
  • Solid written and verbal communication skills
  • Self-motivated to prioritize work on multiple complex assignments

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

California, Colorado, Connecticut, Nevada, New York City, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York City, or Washington residents is $67,800 to $133,100. 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.

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

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.