Healthcare Economics Consultant - Remote

Taleo; Toledo (OH); Remote; USD 73,000 - 130,000; Full time

Benefits offered by this job

Remote work

Job summary

UnitedHealthcare is seeking a Healthcare Economics Consultant to work remotely within the U.S. as a data-driven analytics lead for Medicaid markets.

You will translate questions into analyses, identify trends, and present strategic insights to senior leaders, partnering with clinical, operational, and finance teams. The role requires 3+ years in analytics and 2+ years in healthcare insurance with claims data, plus strong Excel and SQL/SAS skills.

Qualifications

• 3+ years of experience in an analytics capacity.
• 2+ years of experience in the healthcare insurance industry with claims data.
• 1+ year of experience communicating to senior stakeholders.
• Proficiency with MS Excel including Pivot Tables and complex functions.
• Proficiency with SQL, SAS, or Snowflake.

Responsibilities

• Serve as the analytical lead for Medicaid markets and partner with cross-functional leaders.
• Translate business questions into actionable analytical approaches and executive-ready presentations.
• Identify trends, risks, and opportunities for deeper investigation.
• Develop narratives linking findings to business impact and strategy.
• Interpret claims, capitation, premium, and membership data for actuarial and financial analyses.
• Contribute to database creation, statistical modeling, and reporting projects.
• Perform data validation and root-cause analysis to explain cost and utilization trends.
• Review reporting tools and methodologies used by leadership.
• Present findings and recommendations to management in clear, actionable terms.
• Support standardization of recurring reporting and dashboards across Medicaid markets.

Skills

Analytical thinking

Communication

Excel

SQL

SAS

Tools

SQL

SAS

Snowflake

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Healthcare Economics Consultant - Remote (2386410)

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities andremoving barriers to quality care. The work you do here impacts the lives of millions of people for thebetter. Come build the health care system of tomorrow, making it more responsive, affordable andoptimized. Ready to make a difference? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

Schedule: Standard business hours in Eastern Standard Time.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Serve as the analytical lead for assigned Medicaid market(s), partnering with market, clinical, operational, and finance leaders to identify opportunities and address complex business challenges
• Translate ambiguous business questions into actionable analytical approaches, recommendations, and executive-level presentations
• Proactively identify emerging trends, performance drivers, risks, and opportunities for deeper investigation
• Facilitate discussions with stakeholders to understand underlying business objectives, challenge assumptions when appropriate, and ensure analytical work aligns with decision-making needs
• Develop clear, concise narratives that connect analytical findings to business impact, strategic priorities, and potential actions
• Interpret and analyze claims, capitation, premium, and membership data, recommending analytical approaches in support of actuarial, financial, utilization, and clinical analyses
• Participate in complex projects from problem definition through implementation, contributing to database creation, statistical modeling, financial reporting, and operational insights
• Perform data validation, root cause analysis, and conceptual investigations to identify drivers of healthcare cost and utilization trends
• Analyze and interpret reporting tools, methodologies, and results utilized by internal business partners and leadership teams
• Communicate statistical findings, methodologies, limitations, and recommendations to management and senior leaders in a meaningful and actionable manner
• Present analytical findings, trend drivers, risks, opportunities, and strategic recommendations to health plan and senior leadership, translating complex data into clear, actionable insights that support business and clinical decision-making
• Review and provide guidance on data extraction, analytical methodologies, and deliverables developed by other team members to ensure accuracy and quality
• Develop, standardize, and enhance recurring reporting, dashboards, and analytical frameworks to ensure consistent performance monitoring, data integrity, and efficient delivery of insights across Medicaid markets
• Act as a trusted resource to market senior leadership, providing strategic insight and analytical thought partnership on complex business issues

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:

• 3+ years of experience in an analytics capacity and evidence of creative, proactive problem solving
• 2+ years of experience in the healthcare insurance industry with previous exposure to medical claims data
• 1+ year of experience communicating complex information to senior stakeholders
• Intermediate level of proficiency working with MS Excel including Pivot Tables, Charts and complex functions
• Intermediate level of proficiency with SQL, SAS, or Snowflake

Preferred Qualifications:

• Medicaid managed care experience
• Experience using Power BI, Tableau, or other data visualization tools
• Experience partnering with cross-functional stakeholders including clinical, operational, network, finance, and market leadership teams
• Familiarity working with large healthcare claims databases
• Demonstrated intellectual curiosity and a passion for understanding not only what is happening in the data, but why it is happening and how insights can drive meaningful business decisions
• Proven ability work independently in ambiguous environments, prioritize competing demands, and drive projects to completion with limited direction
• Proven consultative mindset with the ability to ask thoughtful questions, uncover underlying business needs, challenge assumptions appropriately, and influence decision-making through data-driven recommendations
• Proven ability to translate complex analytical findings into clear, actionable insights for technical and non-technical audiences
• Proven effective verbal and written communication skills
• Proven ability to effectively manage multiple priorities

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.

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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

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.