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Develop strategic working relationships with clients Perform diverse data analytics focused projects, including quantitative analysis on Actuarial, financial and utilization data Perform diverse coding development focused projects, including creation and enhancement of tools and data pipelines Perform health care and / or health policy focused quantitative and qualitative
Posted 5 days ago
Help develop enterprise wide Clinically Integrated Network teams that focus on specific clinical areas/service lines such as oncology or cardiology Perform network analysis and strategy development and implementation Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness Obtain, validate and a
Posted 5 days ago
Lead and manage team of actuaries and actuarial students of varying levels Estimate reserves and communicate monthly results and drivers of variance from budget/forecast to senior leadership Manage activities of research, medical data collection and analysis, and trend analytics to uncover drivers of results Present findings in clear, compelling manner to senior leadershi
Posted 5 days ago
Work with vast amounts of data from multiple sources to deliver high impact actionable insights to senior leadership and business operations; enable data driven decision making across the enterprise to improve the efficiency and effectiveness of UHC Operations, while focusing on constituent experience improvement Perform exploratory data analysis from structured, unstruct
Posted 7 days ago
In partnership with the Product Director and other internal & external partners, define a Digital Therapeutics product strategy and roadmap Synthesize market insights, consumer research, product analytics, business needs, and technical constraints to develop compelling and engaging products Oversee end to end ideation, execution, launch, and evaluation of Digital Therapeu
Posted 7 days ago
Assist with ownership/support of projects in an effort to more effectively manage the products Working across functions and roles, both within the product team as well as to other areas such as Finance and Operations to accomplish goals of the programs. Communication of program changes is a critical task Process improvement projects handling projects for claims, clients a
Posted 7 days ago
Manage financial portfolio to ensure organization's business needs are clearly defined, negotiated and delivered Proactively identify and communicate opportunities & risks to management and team Recommend and participate in operations planning with the goal to develop consistencies across Provider Data Operations Work with Provider Data Ops leadership team to ensure align
Posted 8 days ago
Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness Ensures alignment with business stakeholders and works with cross functional teams to execute Gathers and analyzes data to assess capability related Key Performance Indicators (KPIs); Provides facts and criteria to support decision making;
Posted 9 days ago
Building robust processes that would allow for ROI management within the chart review program management Maintain control environment to ensure completeness, accuracy, and compliance of chart review data Be able to independently solve for database solutions and analytics needed in ad hoc situations for chart review operations and understand the relational business process
Posted 9 days ago
Participate in the development and documentation of business strategy Coordinate with local markets to support expansion into risk based arrangements Identify and implement improvements to drive administrative efficiency and speed to market Create contract templates and supporting contracting material and training Monitor and report effectiveness of risk based arrangement
Posted 9 days ago
Lead the definition of Platform Strategy for Payment Integrity Partner with Payment Integrity Product Leads to understand the Product and Business Strategy Create a vision for the capabilities enabling the Payment Integrity business (how data, analytics, workflow, reporting need to evolve and interact to enable the Product and Business Strategy) Lead a team of leaders acr
Posted 9 days ago
Responsible for the management and manipulation of mostly structured data, maintenance of existing analysis tools to distinguish patterns and recognize trends, assuring data quality Collecting/aggregating Patient Navigator performance data Partner with the Manager of the Clinical Performance Quality (CPQ), Patient Navigator team to understand data requirements and develop
Posted 9 days ago
Provide subject matter expertise on analytics strategy including digital marketing, web analytics, marketing engagement and sales attribution Perform complex and conceptual analysis to conduct periodic, comprehensive business reviews on marketing performance with senior leadership Serve as a key resource on complex issues and partner with digital strategists and marketers
Posted 9 days ago
Responsible for supporting product and solution suite including development and roadmap management for decision support solutions/capabilities, including Benefit Cost Comparison Tool, Rally Find and Price Care tool, the Health Education Library online resource, and a host of 3rd party vendor cost/quality transparency and comparison tools. Serves as solution analyst and pa
Posted 12 days ago
Help optimize how members utilize the health system through pharmacy services and how we understand our internal operations and external customers Make health plans more efficient, identify gaps in member care, and help make the health system better for everyone Develop and maintain Home Delivery Pharmacy analytics for internal and external clients Support our Optum Home
Posted 12 days ago
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