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- 1 senior healthcare economic consultant position
- 2 healthcare economic consultant positions
Job location: Cypress CA, preferred to be from local or willing to move (out
of state can provide relocation fee)
Please note UHC does not sponsor H1B
Primary Responsibilities:
• Interpret and analyze claims, premium, capitation and membership
data in support of Underwriting, Actuarial and utilization analyses
• Lead projects to completion by contributing to database creation,
statistical modeling and financial reports
• Create and update automated processes within client databases
Analyze reporting tools utilized by the internal customer groups
• Use notifications, claims or / and membership data in support of
business operations, and utilization, network and process / program analyses
• Works with relatively complex raw healthcare notifications and
claims data, and recognizes data patterns and potential issues and makes
recommendations
• Leverages existing and ad - hoc reporting capabilities to
identify trends in health plan performance and opportunities for medical
expense reduction
• Performs data extraction, aggregation, and quality checking from
multiple sources and tables in support of trend identification, root cause
analysis, affordability initiative development, and validation / measurement
of medical expense reduction initiatives
• Provides consultative advice and interprets and summarizes
analytical findings
• Generally work is self - directed, and serves as a resource to
others
Requirements
To be considered for this position, applicants need to meet the
qualifications listed in this posting.
Required Qualifications:
• Bachelor's degree or equivalent work experience
• 3+ years data analytics
• 2+ years of work experience
• 1+ years of health care experience working with claims data and
medical codes
• Proficiency in performing data analytics
• Demonstrated proficiency in SAS programming
• Proficient with MS Excel, including formulas, calculations,
charts, graphs, etc.
• Beginner level of proficiency with MS Access
Preferred Qualifications:
• 2+years’ experience analyzing very large datasets
• 2+ years of SAS programming on a UNIX platform or Enterprise
Guide(EG)
• Basic level of Visual Basic |
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