Associate Healthcare Econ Director - Labs and Genetics Services - Remote
Company: Optum
Location: Minnetonka
Posted on: May 26, 2025
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Job Description:
Optum is a global organization that delivers care, aided by
technology to help millions of people live healthier lives. The
work you do with our team will directly improve health outcomes by
connecting people with the care, pharmacy benefits, data and
resources they need to feel their best. Here, you will find a
culture guided by diversity and inclusion, talented peers,
comprehensive benefits and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start Caring.
Connecting. Growing together. -
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.
You'll enjoy the flexibility to work remotely * from anywhere
within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Identify, create, and develop a portfolio of cost savings
initiatives that drive specific and measurable results for assigned
clients while providing timely and meaningful client updates
Perform and participate in iterative analytical, experimental,
investigative, and other fact-finding work in support of concept
development
Establish solid matrixed relationships with internal stakeholders
to define, align, and deliver payment integrity initiatives in
support of assigned clients
Influence senior leadership to adopt new ideas, approaches, and/or
products
Recommend changes to current product development procedures based
on market research and new trends
Industry thought leader and subject matter expert for medical
claims, related trends, pricing, and cost management
initiatives
Lead concepts/projects from conceptualization to completion
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:
4+ years of experience auditing, billing, and/or coding claims
within the Molecular/Genetic area
4+ years of experience in the health care industry (Medicare,
Medicaid, Commercial) with deep exposure to Payment Integrity -or
Revenue Integrity
3+ years of work experience in highly collaborative and
consultative roles, with ability to establish credibility quickly
with all levels of management across multiple functional areas
2+ years of experience performing research and analysis of claims
data and applying results to identify trends/patterns
2+ years of experience presenting proposals to stakeholders and
internal customers
Project Management experience -
Maintains working knowledge of CMS rules and regulations and
billing codes and related services -
Preferred Qualifications:
Undergraduate Degree -
Advanced degree in health care or medical field
Coding certification through AAPC or AHIMA -
3+ years of experience in claims adjudication or revenue cycle
management -
2+ years of experience working in a matrixed and highly adaptive
environment handling tight deadlines
Experience working in a Laboratory and/or Genetics setting
Proficiency with SQL, SAS and/or other statistical programs -
Solid computer skills: Excel (Pivot Tables, Advanced Formulas,
macros, etc..), Visio, PowerPoint, Tableau -
Proven solid project management approach with excellent critical
thinking and problem-solving skills
Proven self-managed, self-starter with the ability to support
multiple concurrent projects and meet tight delivery timelines
Proven exceptional presentation, communication, and negotiation
skills
*All employees working remotely will be required to adhere to
UnitedHealth Group's Telecommuter Policy
The salary range for this role is $106,800 to $194,200 annually
based on full-time employment. Pay is based on several factors
including but not limited to local labor markets, education, work
experience, certifications, etc. UnitedHealth Group complies with
all minimum wage laws as applicable. In addition to your salary,
UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice
of benefits and incentives.
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 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.
Keywords: Optum, Eau Claire , Associate Healthcare Econ Director - Labs and Genetics Services - Remote, Executive , Minnetonka, Wisconsin
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