Senior Healthcare Economics Consultant – Cypress, CA preferred or Telecommute

UHG Cypress, CA

About the Job

Positions in this function research and investigate key business problems through quantitative analyses of utilization and healthcare costs data. Provides management with statistical findings and conclusions. Identifies potential areas for medical cost improvements. Provides data in support of actuarial, financial and utilization analyses.

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


Primary Responsibilities

  • Works closely with customers in determining analytic needs and presents outcomes of HCE analysis to customers
  • Develops analytical plans including determining types of data needed, optimal study design and appropriate statistical analysis.
  • Works with complex raw healthcare claims and clinical data, and recognizes data patterns and potential issues and makes recommendations
  • Performs analyses to determine effectiveness and ways to improve clinical programs
  • Provides consultative advice and interprets and summarizes analytical findings
  • Researches, identifies, and implements new approaches and methods to improve the quality and cost of care
  • 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
  • Collaborates within and outside the Medical Informatics department, UHC, and UHG to lead the development and continuous improvement of methods, processes, and technologies to enhance healthcare quality, affordability, outcomes, and member/provider experience
  • Provides ongoing communications on project status, results and conclusions from analyses
  • Generally work is self-directed, and serves as a resource to others

Required Qualifications

  • Bachelor's degree or MS (preferably in Economics, Business, Statistical, Mathematical, Health or related field)
  • 5+ years data analytics
  • Demonstrated proficiency in SAS or SQL programming
  • Proficient with MS Excel

Preferred Qualifications

  • MS (preferably in Economics, Business, Statistical, Mathematical, Health or related field)
  • Healthcare industry experience
  • Experience analyzing very large data sets
  • SAS programming on a UNIX platform or Enterprise Guide(EG)
  • Flexible in a fast paced environment
  • Must be self-motivated and detail-oriented
  • Ability to work with minimal guidance
  • Strong written and verbal communication skills
  • Strong problem-solving and analytical skills

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)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy


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.