Senior Healthcare Economic Consultant - Remote

Learn more about applying for Senior Healthcare Economic Consultant - Remote at UnitedHealth Group Senior Healthcare Economic Consultant - Remote at UnitedHealth Group Skip to main content The UnitedHealth Group Careers website will be undergoing planned maintenance. There will be downtime on Friday, March 27th 5:00 PM Central - Saturday, March 28th 5:00 PM Central. link --> Blogs Job seeker resources Login Bookmarked jobs ( 0 ) Career areas Life here Join our talent community Clinical › Corporate and business operations › Customer and support services › Early careers › Sales and account management › Technology and data › Physicians › Advanced practice clinicians › Pharmacy › Behavioral health › Nursing › Medical coding › Clinical support › U.S. › Ireland & UK › India › Philippines › Culture of Belonging › Employee Benefits › Blog Job seeker resources Login Bookmarked jobs ( 0 ) Career areas Clinical Physicians Advanced practice clinicians Pharmacy Behavioral health Nursing Medical coding Clinical support Corporate and business operations Administrative support Consulting Finance and business analytics Legal and compliance Marketing and communications People team Project management Customer and support services Billing Claims Customer Service Data entry Early careers Sales and account management Account management Sales Sales management Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering Life here U.S. Culture of Belonging Employee Benefits Military Fellowship Program Ireland & UK Culture of Belonging Employee Benefits India Culture of Belonging Employee Benefits Philippines Culture of Belonging Employee Benefits Join our talent community Search Jobs Open search form Keyword or job number Location Go Explore remote jobs Pursue your passion and potential Senior Healthcare Economic Consultant - Remote Austin, Texas Apply Internal apply Bookmark job Jump to Our values Job description Benefits Testimonial Awards & recognitions Related content Caring. Connecting. Growing together. With these values to guide us, our people are committed to making a meaningful difference in the lives of those we are honored to serve. Integrity Compassion Inclusion Relationships Innovation Performance Senior Healthcare Economic Consultant - Remote Requisition number: 2375283 Job category: Healthcare Economics Primary location: Austin, Texas Date posted: 10/08/2026 Overtime status: Exempt Travel: No Share this job Facebook X LinkedIn Email 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's Healthcare Economics Network Strategy & Analytics Department Candidate is responsible for producing their own quality work product but also 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 communication skills and demonstrate self-motivation, initiative, and adaptability in a dynamic environment. This role primarily supports and validates provider and payor network contracting and trend management activities through financial or pricing modeling, negotiation support, analysis, and reporting. The team 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. Primary Responsibilities: 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 with the 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 with anticipated negotiation outcomes and reimbursement changes Analyze large healthcare datasets and monitor cost, utilization, reimbursement, and market trends to identify risks 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 Serves as a leader/ mentor 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: Undergraduate degree or equivalent experience 3+ years of analytical experience in healthcare pricing, managed care, provider reimbursement, network contracting, finance, or healthcare analytics Experience working with healthcare claims and reimbursement methodologies Advanced proficiency in Microsoft Excel, including pivot tables, formulas, and financial modeling Intermediate or greater proficiency in MS-SQL (utilize and edit existing queries, create new queries, including joins and case statements) Knowledge of Provider payment methodologies including: Risk Continuum Model - Fee-for-service, Capitation, Value-based and incentive payment models Medicare, Commercial and Medicaid-based reimbursement Proven solid attention to detail and ability to manage multiple priorities Proven solid analytical and quantitative problem-solving skills Proven effective written and verbal communication skills Proven ability to work collaboratively across cross-functional teams Preferred Qualifications: Bachelor's degree in Finance, Healthcare Administration, Economics, Statistics, Mathematics, Business Analytics, or related field Experience in managed care, health insurance, PPO networks, or provider contracting environments Experience with claims systems, contract modeling software, or reimbursement configuration platforms Knowledge of CMS reimbursement methodologies and regulatory guidelines Familiarity with actuarial or healthcare financial analysis concepts *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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. Apply Internal apply Bookmark job Benefits Our mission of helping people live healthier lives extends to our team members. Learn more about our range of benefits designed to help you live well. Life Resources and support to focus on what matters most to you, in every facet of your life. Emotional Education, tools and resources to help you reduce and manage stress, build resilience and more. Physical Health plans and other coverage to support wellness for you and your loved ones. Financial Benefits for today and to help you plan for the future, including your retirement. Learn more We’re honored to be recognized for our exceptional work culture Learn more Learn more Discover our family of businesses See how we’re structured to help build a modern, high-performing health system. Learn more Explore our hiring process Learn what to expect when you pursue an opportunity with us. Learn more Benefits that support your well-being Explore opportunities from coast to coast. 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