Associate Healthcare Econ Director - Labs and Genetics Services - Remote
Optum
Hopkins, MN
10 days ago
$106,800 - $194,200
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Job Description
Join Optum as an Associate Director of Healthcare Economics, where you'll leverage your expertise to improve healthcare outcomes through data-driven insights and strategic initiatives. Work remotely while leading projects that enhance cost savings and influence industry practices in the labs and genetics sector.
Key Responsibilities
Identify and develop cost savings initiatives for assigned clients
Conduct analytical and investigative work for concept development
Build relationships with internal stakeholders to support payment integrity initiatives
Influence senior leadership on new ideas and approaches
Recommend changes to product development based on market research
Serve as a subject matter expert for medical claims and cost management
Lead projects from conceptualization to completion
Required Qualifications
4+ years of experience auditing, billing, and/or coding claims within the Molecular/Genetic area
4+ years of experience in the health care industry (Medicare, Medicaid, Commercial) with exposure to Payment Integrity or Revenue Integrity
3+ years of experience in collaborative and consultative roles
2+ years of experience performing research and analysis of claims data
2+ years of experience presenting proposals to stakeholders
Project Management experience
Knowledge of CMS rules and regulations and billing codes
Preferred Qualifications
Undergraduate Degree
Advanced degree in health care or medical field
Coding certification through AAPC or AHIMA
3+ years of experience in claims adjudication or revenue cycle management
2+ years of experience in a matrixed and adaptive environment
Experience working in a Laboratory and/or Genetics setting
Proficiency with SQL, SAS, or other statistical programs