For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.Optum Health is creating the leading high-value ambulatory care delivery network in the country that is physician-led, patient-centered and clinically focused. When you join our team, you’ll be surrounded by a focused, performance driven team who is dedicated to building the highest value healthcare delivery system. Efficient specialty networks play an increasing role in our growth strategy across all markets as they will enable us to bring greater value to patients and providers through a high value healthcare delivery system. In this role, you’ll help drive the development and evaluation of specialty networks that create a higher quality and lower cost healthcare delivery system.This role will assess and partner with OptumCare Care Delivery Organizations (CDOs) to develop high value specialty networks for their members/patients. This will be achieved through the assessment of a CDO’s existing specialty network needs and evaluating market opportunities to optimize that network’s performance. The specialty network strategy will be designed inclusive of market discovery interviews, aligning on approach/key considerations, opportunity/gap analysis, and final recommendations.This position will primarily be focused on developing analytic insights, supporting data models, and delivering specialty network recommendations. Key analytic assessment focus areas include but are not limited to:
Specialty Network Adequacy and Accessibility Assessments
Specialty Supply / Demand Opportunity Assessments
Provider Cost Efficiency and Quality Evaluations
Care Delivery Organization Specialty Referral Optimizations
Employ vs. Partner Opportunity Assessments
Employed Specialist Financial Review Assessments
Specialty Group Acquisition Synergy Assessments
This position will engage closely with Optum Health local medical group leadership as well as with a variety of enterprise teams including Healthcare Economics and Surgical Care Affiliates (SCA). Collaboration across broader Optum Health, Optum and UnitedHealthcare will exist.
You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Strategy and Growth:
Develop understanding of business-level goals / metrics focused on maximizing service line performance
Develop data solutions that can directly support the business case and ongoing performance tracking for local and national execution
Ensure that data solutions supporting service line strategies address applicable market expectations (e.g., patients, payers, providers, external business partners)
Communication/Relationship Management:
Collaborate with market partners - build long-lasting transparent and trusting relationships
Create strong partnerships across all levels of the organization to obtain needed information and support across teams
Present complex information/insights in a simple and consumable format
Operational Effectiveness:
Collaborate with applicable stakeholders to obtain appropriate market information/data (e.g., healthcare economics, specialty practices, health plan partners, etc.)
Gather/analyze/validate applicable data from internal and external sources to identify market characteristics/needs/problems (e.g., market opportunities, financials, trends)
Articulate clear and concise information on a market specific data solution supporting the business opportunity
Partner with stakeholders (internal and external) to ensure accuracy of information/assumptions in data models
Monitor pilots and tests including performance tracking to support overall project implementation
Research/Data:
Analyze internal data, alongside external data sets (including detailed internal and external payer data sets) to identify preferred providers based on patterns of clinical care, site of service, and cost savings opportunities
Use above analyses to create business pro formas to support investment opportunities – including calculating metrics for revenue, EBITDA, ROIC, and IOI
Review and assess completed analysis; seeking clarity, questioning where appropriate, and working collaboratively to drive accurate results
General:
Work directly with and across OptumCare business units to help determine needs and solve complex and strategic business challenges
Ensure consistency and coordination in how initiatives are implemented
Make recommendations to management/leadership based on business case and analysis
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:
5+ years of experience analyzing and manipulating large data sets
3+ years of experience in healthcare industry
Advanced level of proficiency in MS Excel and MS PowerPoint
Intermediate proficiency in SQL Management Studio
Experience and understanding of key healthcare financial metrics
Experience presenting information to senior leadership
Preferred Qualifications:
Interpersonal skills, including positive assertiveness, professional communication, relationship building and ability to influence without authority
Experience working with data related to specialists and/or ancillary services
Experience in general business or healthcare consulting
Experience with Tableau Reporting
Proven success adding structure and clarity to ambiguous situations / asks
Solid problem solving capabilities
Excellent written and oral communication skills
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $122,100 to $234,700 annually. 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.Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.