Care and Value Analyst – San Antonio

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.   

 

The Care and Value Analyst researches and investigates critical business problems through quantitative analyses of revenue, utilization metrics, healthcare costs, membership trends, and quality and risk adjustment data. 

 

Hybrid in San Antonio TX TX547 office 3 days a week, remote 2 days a week

 

Primary Responsibilities:

• Provide management with statistical findings and conclusions and partners with stakeholders to identify areas of opportunity to improve the financial performance of clinics and risk pools
• Partner with the market clinical teams to identify areas of opportunity to improve on utilization outcomes
• Develop recommendations and strategies and communicates findings to leadership and operations teams to help implement corrective action plans
• Be the primary Care and Value expert in the market to provide education and training along with other additional support as needed
• Work with clinics and contracted teams to optimize Care and Value processes

 

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 general healthcare data analysis experience
• 2+ years of experience in a reporting and analytical role
• Experience communicating and facilitating strategic meetings with groups of all sizes
• Understanding of the complexity of Member healthcare, claims
• Knowledge of Managed Care and Medicare programs
• Proficient in MS Excel and/or equivalent data capture/reporting tools
• Proven solid verbal and written communication skills are required.
• Demonstrated ability to work independently, use good judgment and decision-making process
• Demonstrated ability to conduct performance evaluation to identify performance measures or indicators and the actions needed to improve or correct performance, relative to the goals
• Willing and able to travel up to 50% with the San Antonio, TX market

 

Preferred Qualifications:

• Risk Adjustment knowledge related to CMS reimbursement models
• 3+ years of experience in a clinical setting
• Demonstrated ability to act as a mentor to others

 

The salary range for this role is $71,600 to $140,600 annually based on full-time employment. 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.

 

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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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. 

 

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.