Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind Caring. Connecting. Growing together.
The Healthcare Economics Consultant partners with Finance, Operations, and Clinical leadership to deliver actionable financial and operational insights. This role develops advanced analyses, forecasting models, and automated reporting solutions to support strategic decision-making, healthcare economics initiatives, and organizational performance. The consultant serves as a trusted advisor by translating complex healthcare and financial data into meaningful business recommendations.
This position is hybrid in San Antonio, TX - with flexibility to come onsite any 3 days per week.
Primary Responsibilities:
- Research, retrieve, design, troubleshoot, and deliver organized analytics regarding healthcare, capitation, accounts receivable, utilization data, claims data and financial accounting data
- Serves as a subject matter expert in healthcare economics, capitation, medical claims, utilization, revenue performance, and financial data analysis
- Synthesize complex data into clear, actionable insights and recommendations for operational and executive leadership
- Analyzes and extracts data from the Enterprise Data Warehouse (EDW) to report to internal and external customers
- Serves as a key resource to Finance teams by providing analytical support and technical expertise
- Designs, develops, tests, documents and database queries for ad hoc reporting used in complex conceptual analyses
- Develops systematic reporting processes and procedures to ensure timely delivery of weekly, monthly, quarterly, annual and ad hoc reporting to management
- Recommends and implements new or modified reporting methods and procedures to improve report content and completeness of information
- Analyze benchmarking data, reports, processes, and measurements for key managed care indicators to recognize trends and assist in developing forecasts and financial planning
- Collaborates with Finance, Operations, Clinical, IT, and Business Intelligence teams to identify opportunities for performance improvement and process optimization
- Develop innovative approaches to achieve deliverables and increase efficiency
- Provides informal leadership, mentoring, and technical guidance to analysts and cross-functional project teams
- Performs all other related duties as assigned
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:
- Bachelor's degree, Finance, Accounting, Business Administration, Healthcare Administration, or related field required (4+ additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor's degree)
- 5+ years of general healthcare accounting, finance, or operations experience
- 2+ years of experience in reporting and analytical role
- Understanding of the complexity of Member healthcare accounting, claims and revenue
- Proficiency in SQL and Microsoft Excel
Preferred Qualifications:
- 5+ years of reporting and analytic experience
- 3+ years of experience in a managed care environment
- Experience with business intelligence and data visualization tools (Power BI, Tableau, SSRS, or similar)
- Experience working with enterprise data warehouses, large healthcare datasets, and automated reporting solutions
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.
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.