Job Title: Associate Healthcare Econ Director – Labs and Genetics Services – Remote
Location: Minnetonka, MN, US (Remote considered)
Job Category: Healthcare Economics
Requisition Number: 2266099
Company Overview:
Optum is a global leader in delivering healthcare solutions, leveraging technology to help people live healthier lives. We strive to advance health equity and deliver care that meets the needs of communities around the world. Join us to contribute to global health improvement while working in a diverse, inclusive environment that supports career development.
What We Offer:
Competitive Salary with performance-based incentives
Comprehensive Benefits Package (health, dental, vision insurance)
Remote Work Opportunity (must adhere to UnitedHealth Group’s Telecommuter Policy)
Career Development & Growth Opportunities
Key Responsibilities:
Cost Savings Initiatives:
Create and develop cost-saving strategies that deliver measurable results for clients.
Provide updates to clients on the progress of initiatives and cost savings.
Concept Development & Research:
Conduct analytical and experimental work to support the development of new concepts.
Lead and manage payment integrity initiatives from conception to execution.
Collaboration & Influence:
Establish strong relationships with internal stakeholders to align on objectives and deliver payment integrity solutions.
Influence senior leadership in adopting new approaches and product developments.
Subject Matter Expertise:
Serve as a thought leader on medical claims, pricing, trends, and cost management in the lab and genetics sector.
Required Qualifications:
Experience:
4+ years auditing, billing, and/or coding claims in the Molecular/Genetic area.
4+ years of experience in the healthcare industry (Medicare, Medicaid, Commercial) with a focus on Payment Integrity or Revenue Integrity.
3+ years of experience in highly collaborative, consultative roles with strong ability to establish credibility across multiple levels of management.
Research & Analysis:
2+ years of experience performing research and analyzing claims data to identify trends.
Project Management:
Proven experience in managing projects and meeting tight deadlines.
Knowledge:
In-depth knowledge of CMS rules, regulations, and billing codes related to claims.
Preferred Qualifications:
Education:
Undergraduate Degree or advanced degree in healthcare or medical field.
Certification:
Coding certification through AAPC or AHIMA.
Experience:
3+ years of claims adjudication or revenue cycle management.
2+ years working in a matrixed, adaptive environment with tight deadlines.
Experience in a Laboratory and/or Genetics setting is preferred.
Technical Skills:
Proficiency in SQL, SAS, Excel (Pivot Tables, Advanced Formulas, Macros), Visio, PowerPoint, Tableau.
Skills:
Strong project management, critical thinking, and problem-solving abilities.
Excellent communication, presentation, and negotiation skills.
Compensation:
Salary Range: $106,800 to $194,200 annually, based on factors such as experience, education, certifications, and local labor markets.
Gujarat :
Ahmedabad | Ankleshwar | Baroda | Bharuch | Gandhinagar | Gujarat | Halol | Jhagadia | Mehsana | Tarasadi | Vadodara | Vapi |Maharashtra :
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Dehradun | Halifax | Nainital | Rishikesh | Roorkee |Delhi :
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Ranchi |Sikkim :
Rangpo |India :
Siliguri |Illinois :
Abbott Park | Bloomingdale | Champaign | Chicago | Deerfield | Glenview | Lake Forest | Lombard | Naperville | Norridge | Park RIdge | Round Lake |Maryland :
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Appleton | Kenosha | Pleasant Prairie | Portage | Waukesha |United states :
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Atlanta | Augusta | Rome |Maine :
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Remote - South America (Latin Americal) | Faridabad | Springville | Manipal | Remote - Europe | Thailand | McFarland | Xzagreb | Leinster | Green Way | Castlebar | Zaragoza | Nairobi | Bishop | Remote - Middle East | Remote | Lenexa | Tulsa | Bountiful | Victoria | Remote, USA | Texas | Hungary | Ireland | Medan | Switzerland | Remote - Africa | Riga | Slovakia | Lousiana | Belgium | Minnesota | French | Melbourne | Hammond | Blue Bell |Republic of Colombia :
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