Senior Healthcare Economic Consultant - Remote

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 inclusion, talented peers, comprehensive benefits and career development opportunities.

Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This role within

Optum Health'sHealthcare Economics Network Strategy & Analytics Department Candidate is responsible forproducingtheir own quality work product butalso supports the design & development of new standard work products, refined processes for scaling analytics across markets, and overall data organization that supports our business goals.

Candidates should have strong verbal skills, strong written communicationskillsanddemonstrateself-motivation,initiative,and adaptability in a dynamic environment.

This role primarily supports andvalidatesproviderandpayor network contracting and trend management activities through financial or pricing modeling,negotiation support,analysis, and reporting.

Theteam and this role manage unit cost budgets,reimbursement benchmarking,target setting, performance reporting,maintenance of associated financial models, and other responsibilities as assigned.

This role will partner closely with contracting, finance, actuarial, operations, provider relations, and executive leadership teams to evaluate pricing impacts, support provider negotiations, and drive data-informed business decisions.

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.

• Design and implement sound tools utilizing programming languages, BI tools, and other resources to identify principal health care cost and revenue drivers, by market segment and/or by provider/payor, referral patterns, and reimbursement rates
• Involved withthe development of SQL queries, analytical models, dashboards, and automated reporting tools to support executive decision-making
• Analyze provider reimbursement analysis, pricing model development, and financial impact assessments to support network strategy and contract negotiations
• Manage unit cost tracking and UCRT entries, ensuring alignment withanticipatednegotiation outcomes and reimbursement changes
• Analyze large healthcare datasets andmonitorcost,utilization, reimbursement, and market trends toidentifyrisks and opportunities
• Ensure pricing, reimbursement, and reporting methodologies are accurate, consistent, statistically sound, and transparent
• Support initiatives focused on cost containment, network optimization, and operational performance improvement in collaboration with cross-functional stakeholders
• Present analytical findings and strategic recommendations to leadership and build strong partnerships across contracting, finance, actuarial, and market teams
• Standardize and document repeatable processes to promote best practices and scalability.

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.

• Reviews the work of others
• Develops innovative approaches
• Sought out as expert
• Se…