Job Abstract

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to startCaring. Connecting. Growing together.

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

Primary Responsibilities:

• Manage the evaluation of payer proposals related to Fee For Service (FFS), capitation arrangements and value-based contracts
• Partner with the payer contracting team to manage the modeling and negotiation process, evaluate proposals, and provide guidance to senior leadership on the financial impact and viability of the contract
• Work closely with the Finance and Actuarial teams to translate contract changes/analytics to the financial forecast
• Develop the capabilities and infrastructure necessary to support the growth of the analytics team, contracting entities supported, and advanced analytics
• Design and implement sound tools and applications to efficiently measure, monitor and forecast payor P&L
• Be a subject matter expert on commercial HMO and government sponsored products funding changes, impact to payor contracts, and the overall managed healthcare landscape
• Contributes to building the next generation of analytic professionals and contributes to enterprise-level goals for talent development, diversity, and inclusion
• Demonstrates continuous learning and maintains a highly skilled and engaged workforce by aligning resource plans with business objectives and ensuring performance management guidelines and expectations drive business objectives and results

Youll 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:

• Bachelors degree or 4+ years additional relevant work experience
• 5+ years of experience in healthcare finance or analytics
• 3+ years of experience with payor contracting and value-based compensation programs along the risk continuum with a foundation of reimbursement methodologies, performance improvement and contracting support
  
• 3+ years of experience in evaluation and use of varying sources of data including data practice management data, other revenue cycle data (claims, encounters), and capitation plan files
  
• Experience leading teams
• Advanced proficiency working with modeling, query, business intelligence and statistical tools, including Excel and MS-SQL (writing, running, and editing queries)
  

Preferred Qualifications:

• ASA or FSA Actuarial Credential
• Medicare Advantage Bid Pricing Tool experience, or familiarity with Medicare Advantage funding and pricing
• Demonstrated intellectual curiosity - ability and willingness to learn new actuarial concepts
• Demonstrated ability to influence, motivate, and correct others in a positive, constructive, and respectful way

*All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy.

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $104,700 to $190,400 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, youll 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 everyoneof every race, gender, sexuality, age, location and incomedeserves 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.