Healthcare Economics Consultant - Remote

Requisition number: 2366876

Job category: Healthcare Economics

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

As a Healthcare Economics Consultant, you will act as a bridge between the technology and business (non-technology) teams. Successful candidates will have strong people, project, change, data analysis and data management skills. Candidates should also demonstrate the ability to work in a matrix environment as well as a history of improving results. In order to be successful in this role, you will build strong relationships within the organization including financial, actuarial, local market leadership and care delivery teams.

This role will support the end-to-end shared savings process, including financial performance evaluation, reconciliation, variance analysis, and reporting across multiple risk arrangements. The analyst will partner with actuarial, finance, and local market leadership and care delivery teams to ensure accurate tracking, validation, and communication of shared savings outcomes.

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

For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Gather and Define Business Requirements

• Analyze large amounts of data and business processes to identify root causes and propose effective solutions

• Ensure business rules are clearly defined, consistently applied, and aligned with organizational goals

• Standardize the collection and documentation of requirements

• Ensure individual requirements are:

• Non-contradictory and non-redundant

• Clear and easy to interpret

• Logically grouped and structured to support modifiability and traceability

• Testable with defined methods to verify requirement completion

• Solution Delivery and Operational Readiness

• Evaluate and refine output formats to ensure usability and clarity for end-users

• Support the development and validation of shared savings outputs, including financial reports, dashboards, and reconciliation summaries

• Ensure outputs align with contractual requirements and stakeholder expectations

• Data Understanding & Source Analysis

• Research and gain an understanding of data elements, sources, and their business relevance

• Define the source of data - type of ingestion, relationships, tables, variables, and transformations that may be required

• Become a subject matter expert (SME) on how data is used and how it functions within the business

• Conduct data profiling on source data for analysis and testing

• Data Troubleshooting and Issue Management

• Identify, analyze, and resolve data inconsistencies, errors, and discrepancies in databases and reporting systems

• Collaborate with cross-functional teams to investigate and resolve data issues

• Develop and implement data quality control procedures and perform regular audits to maintain data accuracy and integrity

• Document data troubleshooting processes, solutions, and resolutions for future reference and knowledge sharing

• Write efficient SQL code to solve complex data challenges

• Determine credibility and usability of data prior to delivery of analytic results

• Investigate variances in shared savings results, including drivers of performance differences across markets, populations, and contracts

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:

• 3 years of Business Analyst experience

• 3 years of data-related problem-solving and troubleshooting

• Intermediate or advanced proficiency in Microsoft Excel (formulas, lookups, graphs, pivots, etc.)

• Demonstrated solid attention to detail, with a proven ability to identify inconsistencies, ensure data accuracy, and deliver high-quality deliverables

• Demonstrated excellent verbal and written communication skills

• Demonstrated ability to write and understand complex SQL queries involving advanced unions, joins, aggregations, and grouping

Preferred Qualifications:

• 2+ years of data visualization experience, including Tableau or Power BI (Preferred but not required)

• Progress toward actuarial certification (e.g., SOA or CAS exams) or equivalent experience in actuarial or healthcare financial modeling

• Ability to work from Cypress, CA office

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.