Healthcare Economics Consultant - Remote
Toledo, Lucas County, Ohio, 43614, USA
Listed on 2026-10-09
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Healthcare
Improve the lives of others while Caring. Connecting. Growing together.
Job Description
- Healthcare Economics Consultant
- Remote (2386410)
At United Healthcare, we’re simplifying the health care experience, creating healthier communities and removing 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 and optimized. 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…
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