Prepares annual Medicare Advantage Part D bids, analyzes healthcare costs and trends, develops pricing and forecasting models, and produces reports for CMS submissions and leadership decisions. Builds AI-powered solutions and data pipelines using Python, SQL, and related tools to improve efficiency. Requires healthcare insurance and pharmacy claims experience, advanced Excel proficiency, and strong analytical, modeling, and prioritization skills.
Requisition Number: 2391153
At UnitedHealthcare, 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 the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
We are seeking an Associate Director of Healthcare Economics to become part of our accomplished team. This dynamic position provides an excellent opportunity to make a direct impact on an innovative function and secure a future with an industry leader. The role resides within UnitedHealth Group's Medicare & Retirement (M&R) segment, you will be part of UnitedHealth Group's elite Medicare Advantage Part D Bid team committed to changing health care through outstanding service, valuable products, measurable savings and health care plans designed to fit members' lives, year after year.
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:
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:
Preferred Qualifications:
*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 $112,700 to $193,200 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 beg inning employment.
At UnitedHealthcare, 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 the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
We are seeking an Associate Director of Healthcare Economics to become part of our accomplished team. This dynamic position provides an excellent opportunity to make a direct impact on an innovative function and secure a future with an industry leader. The role resides within UnitedHealth Group's Medicare & Retirement (M&R) segment, you will be part of UnitedHealth Group's elite Medicare Advantage Part D Bid team committed to changing health care through outstanding service, valuable products, measurable savings and health care plans designed to fit members' lives, year after year.
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:
- Prepare Medicare Advantage Part D bids submitted to CMS annually
- Build AI-powered solutions that solve complex business challenges or improve efficiency in our models
- Use enterprise-approved AI tools to automate tasks and drive continuous improvement
- Conduct data analysis and prepare reports for Medicare Advantage submissions
- Understand and interpret the key drivers of health care trends; projecting expected revenue and cost
- Conduct and evaluate studies on pricing, utilization and health care costs
- Perform mathematical analyses and modeling to provide management with statistical findings and conclusions
- Analyze forecasts and trends to help leaders make decisions
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 in analytics, demonstrating proactive critical thinking and creative problem-solving abilities
- 3+ years of experience building and optimizing data processes and pipelines using Python, SQL, and AI tools
- Experience in the healthcare insurance industry with prior exposure to pharmacy claims data
- Advanced or higher level of proficiency in MS Excel
- Intermediate or higher level of proficiency in coding with Snowflake, SQL, or SAS
- Ability to effectively manage multiple priorities
Preferred Qualifications:
- Medicare or other health data or pricing experience
- Experience working with cloud data platforms (e.g., AWS, Azure, Snowflake)
- ASA, FSA or other Actuarial experience
- Excellent verbal and written communication skills suitable for diverse audiences
*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 $112,700 to $193,200 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 beg inning employment.
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Boston is a powerhouse for technology innovation thanks to world-class research universities like MIT and Harvard and a robust pipeline of venture capital investment. Host to the first telephone call and one of the first general-purpose computers ever put into use, Boston is now a hub for biotechnology, robotics and artificial intelligence — though it’s also home to several B2B software giants. So it’s no surprise that the city consistently ranks among the greatest startup ecosystems in the world.
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