Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.

The Healthcare Economics Consultant supports the Finance/Accounting general functions by reporting accurate financial information; performing financial analyses, forecasting, and modeling; and automating internal reporting processes for Finance and other departments. The position also provides management with statistical findings and conclusions; coordinates and communicates data findings and assists in resolving data issues across multiple departments.

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 and alternative pricing strategies. Provides data in support of actuarial, financial and utilization analyses.

If you are located in San Antonio, TX, you will have the flexibility to work from home and in the office in this hybrid role* as you take on some tough challenges.

Primary Responsibilities:

• Generally, work is self-directed and not prescribed

• Works with less structured, more complex issues

• Serves as a resource to others

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:

• 2+ years of experience in researching, retrieving, designing, troubleshooting, and delivering organized analytics regarding utilization data, claims data and financial accounting data

• 2+ years of experience in analyzing and extracting data from the Enterprise Data Warehouse (EDW) to report to internal and external customers

• Ability to analyze benchmarking data, reports, processes, and measurements for key managed care indicators to recognize trends and assist in developing forecasts

• Experienced in designing, developing, testing data and documenting and maintaining database queries for ad hoc reporting used in complex conceptual analyses

• Ability to develop systematic reporting processes and procedures to ensure timely delivery of weekly, monthly, quarterly, annual and ad hoc reporting to management

• Ability to manage reporting and analysis elements on all business initiative projects

• Ability to recommend and implement new or modified reporting methods and procedures to improve report content and completeness of information

• Ability to develop innovative approaches to achieve deliverables and increase efficiencies

Preferred Qualifications:

• Serve as a key resource to finance teams by providing data/analytical support, mentoring, guidance and technical expertise

• Experience in utilization management and/or prior authorization, reporting and KPI development

• Experience in utilization tools such as Tableau, PowerBI, or similar

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.