4 Unitedhealth Group jobs in Peachtree Corners
Manager, Managed Care
30309 Midtown Atlanta, Georgia
Cardinal Health
Posted today
Job Viewed
Job Description
**_What Managed Care contributes to Cardinal Health_**
Practice Operations Management oversees the business and administrative operations of a medical practice.
Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting, enrollment, credentialing, and any other activity as it relates to payer interaction.
The Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing legal review, policy compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy and align negotiation with strategy.
**_Responsibilities:_**
+ In collaboration with the Director of Managed Care, negotiate and manage assigned contracts, including initiating, planning, finalizing, implementing, reporting (written and verbal) and directing related negotiations.
+ Proposes contracting and pricing models and strategies using knowledge of market, local and national benchmarks, and payer market. Key member of negotiating team for company.
+ Negotiates contract language across all contracts, striving for uniformity among different contracts, partnering with the General Counsel as needed and as appropriate.
+ Coordinates finance, legal and operational reviews of contracts. Coordinates sign off on all proposed terms of contracts and amendments, adhering to Company contract sign off and approval processes.
+ Adheres to all Company processes for tracking rates and terms of all contracts.
+ Is a valuable member of the team based on core business subject matter expertise, general industry knowledge and skills and interest in being a member of a team. Consults with other members of the Leadership Team on contract terms and updates to contracts that may apply to operational areas.
**_Competencies:_**
+ **Decision Making:** Ability to make decisions with significant, broad implications for the management and operations of a major department or multiple departments. Participates in decisions on overall strategy and direction of the organization.
+ **Problem Solving:** Ability to address problems that are broad, complex and abstract, often involving Medical Center-wide issues and requiring substantial creativity, resourcefulness, staff engagement, Lean diagnostic techniques, negotiation and diplomacy to develop solutions.
+ **Independence of Action:** Ability to set goals and priorities for functional area. May make recommendations for department policies, practices and programs. Manager or Director provides broad guidance and overall direction.
+ **Written Communications:** Ability to communicate complex information in English effectively in writing to all levels of staff, management and external customers across functional areas.
+ **Oral Communications:** Ability to verbally communicate complex concepts in English and address sensitive situations, resolve conflicts, negotiate, motivate and persuade others.
+ **Knowledge:** Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.
+ **Team Work:** Ability to lead and direct multiple collaborative teams for large projects or groups both internal and external to the Medical Center and across functional areas. Results have significant implications for the management and operations of the organization.
+ **Customer Service:** Ability to lead operational initiatives to meet or exceed customer service standards and expectations in assigned unit(s) and/or across multiple areas in a timely and respectful manner.
**_Qualifications:_**
+ 8-12 years of experience, preferred
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ 5-8 years related work experience required in Revenue cycle including Payor contracts and 1-3 years supervisory/management experience preferred
+ Negotiation and Presentation Skills.
+ Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.
**Anticipated salary range:** $105,000 - $165,000 USD Annual
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with myFlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close: 12/5/2025** *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (
Practice Operations Management oversees the business and administrative operations of a medical practice.
Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting, enrollment, credentialing, and any other activity as it relates to payer interaction.
The Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing legal review, policy compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy and align negotiation with strategy.
**_Responsibilities:_**
+ In collaboration with the Director of Managed Care, negotiate and manage assigned contracts, including initiating, planning, finalizing, implementing, reporting (written and verbal) and directing related negotiations.
+ Proposes contracting and pricing models and strategies using knowledge of market, local and national benchmarks, and payer market. Key member of negotiating team for company.
+ Negotiates contract language across all contracts, striving for uniformity among different contracts, partnering with the General Counsel as needed and as appropriate.
+ Coordinates finance, legal and operational reviews of contracts. Coordinates sign off on all proposed terms of contracts and amendments, adhering to Company contract sign off and approval processes.
+ Adheres to all Company processes for tracking rates and terms of all contracts.
+ Is a valuable member of the team based on core business subject matter expertise, general industry knowledge and skills and interest in being a member of a team. Consults with other members of the Leadership Team on contract terms and updates to contracts that may apply to operational areas.
**_Competencies:_**
+ **Decision Making:** Ability to make decisions with significant, broad implications for the management and operations of a major department or multiple departments. Participates in decisions on overall strategy and direction of the organization.
+ **Problem Solving:** Ability to address problems that are broad, complex and abstract, often involving Medical Center-wide issues and requiring substantial creativity, resourcefulness, staff engagement, Lean diagnostic techniques, negotiation and diplomacy to develop solutions.
+ **Independence of Action:** Ability to set goals and priorities for functional area. May make recommendations for department policies, practices and programs. Manager or Director provides broad guidance and overall direction.
+ **Written Communications:** Ability to communicate complex information in English effectively in writing to all levels of staff, management and external customers across functional areas.
+ **Oral Communications:** Ability to verbally communicate complex concepts in English and address sensitive situations, resolve conflicts, negotiate, motivate and persuade others.
+ **Knowledge:** Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.
+ **Team Work:** Ability to lead and direct multiple collaborative teams for large projects or groups both internal and external to the Medical Center and across functional areas. Results have significant implications for the management and operations of the organization.
+ **Customer Service:** Ability to lead operational initiatives to meet or exceed customer service standards and expectations in assigned unit(s) and/or across multiple areas in a timely and respectful manner.
**_Qualifications:_**
+ 8-12 years of experience, preferred
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ 5-8 years related work experience required in Revenue cycle including Payor contracts and 1-3 years supervisory/management experience preferred
+ Negotiation and Presentation Skills.
+ Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.
**Anticipated salary range:** $105,000 - $165,000 USD Annual
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with myFlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close: 12/5/2025** *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (
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0
Intern - Managed Care, Payer Provider Advisory - Campus 2026
30309 Midtown Atlanta, Georgia
Guidehouse
Posted 2 days ago
Job Viewed
Job Description
**Job Family** **:**
Intern
**Travel Required** **:**
Up to 75% **Clearance Required** **:**
None
All candidates who meet the minimum qualifications for this opportunity will be reviewed after the application period closes on **Thursday, Oct. 16.** Candidates who are selected to interview will be notified by **Friday, Oct. 24**
**What You Will Do** **:**
Guidehouse's Managed Care practice sits within the broader Payer Provider Advisory group. The Managed Care practice assists hospitals, health systems, private equity-backed organizations and other providers navigate through a challenging and complex environment and find strategic pathways leading to sustainable success. The regulatory environment and the market dynamics in the healthcare industry are constantly evolving, and our clients seek our assistance to develop a strategy to improve their outcomes in payer negotiations. Our approach is founded in analytical exercises (e.g., benchmarking, financial scenario modeling, etc.) and driven by critical thinking to inform the managed care strategy and to unlock the full potential of an organization's value proposition. Guidehouse's commitment to investing in tech further supports the trend towards leveraging AI/automation to augment our service offerings and unlock the full potential of our services.
The Guidehouse Internship Program staffs interns on real world projects, showcasing the Guidehouse culture, and providing them with a meaningful consulting experience. Interns work with teams and provide real time deliverables in support of the clients. Each Intern is paired with a Buddy to serve as a resource that can assist them in navigating their Guidehouse experience.
Highlights of our Internship Program include:
+ 10-week experience in Summer 2026 (Anticipated to start Monday, June 8 and run until Friday, August 14)
+ Learning & Development Sessions (both E-learning & Instructor Lead)
+ Mid-Point and Final Evaluations
+ Corporate Social Responsibility (CSR) Intern Event
+ Networking & Social Activities and Events
+ Intern Speaker Series
+ Collaborative Group Projects
Our Interns help our clients improve their business processes, internal controls, operating efficiency, transparency and performance management, and ability to comply with federal laws and regulations. During your assignment, you will be given the opportunity to support projects to address some of the most significant project challenges faced by federal clients. Guidehouse projects are extremely fluid and require self-motivated individuals willing to develop solutions on their own or in a team of highly skilled professionals. Project members are provided the opportunity to interact with our clients' senior management and enhance their skills in the areas of technical competency, business development, client service and people development.
Throughout the internship, you will have the chance to work with our internal teams on the assigned project/contract, meet with upper management to reflect on your personal and professional development, and socialize with your fellow interns during outings/activities.
As an Intern, you will work with an experienced team to support the development of client deliverables, internal and client presentations, day-to-day project logistics, and any additional project tasks. This position provides individuals the opportunity to serve clients across a wide variety of functions including strategy, process improvement, analytics, accounting, information technology, communications, and project management.
Click through below to hear more about Guidehouse's Summer Internship Program!
You Will Need** **:**
+ Minimum Years of Experience: 0 years
+ Minimum Degree Status: Undergraduate Degree (Must still be enrolled in an accredited undergraduate or graduate degree program through Fall 2026 and graduate by Summer 2027)
+ Would not require sponsorship now or anytime in the future to work in the United States; Students possessing F-1 or J-1 visas are excluded from interview schedules or being hired for this position.
**What Would Be Nice To Have** **:**
+ Degree concentration in Business, Business Administration, Management, Business Analytics, Economics, Finance, Accounting, Health Administration, Health Informatics, Health Management, or similar is preferred
+ Previous internship or work experience preferred
+ Working knowledge of Microsoft Word, Excel, and PowerPoint
+ Knowledge of Business Analytics software Access, SAS or R, and/or SQL
+ Strong quantitative and organizational skills
+ Must be able to demonstrate written and oral communication and presentation skills
+ Excellent quantitative analysis skills
+ Ability to translate data into graphic or visual representations
The annual salary range for this position is $59,000.00-$98,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
**What We Offer** **:**
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
+ Medical, Rx, Dental & Vision Insurance
+ Personal and Family Sick Time & Company Paid Holidays
+ Position may be eligible for a discretionary variable incentive bonus
+ Parental Leave and Adoption Assistance
+ 401(k) Retirement Plan
+ Basic Life & Supplemental Life
+ Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
+ Short-Term & Long-Term Disability
+ Student Loan PayDown
+ Tuition Reimbursement, Personal Development & Learning Opportunities
+ Skills Development & Certifications
+ Employee Referral Program
+ Corporate Sponsored Events & Community Outreach
+ Emergency Back-Up Childcare Program
+ Mobility Stipend
**About Guidehouse**
Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.
_Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee._
Intern
**Travel Required** **:**
Up to 75% **Clearance Required** **:**
None
All candidates who meet the minimum qualifications for this opportunity will be reviewed after the application period closes on **Thursday, Oct. 16.** Candidates who are selected to interview will be notified by **Friday, Oct. 24**
**What You Will Do** **:**
Guidehouse's Managed Care practice sits within the broader Payer Provider Advisory group. The Managed Care practice assists hospitals, health systems, private equity-backed organizations and other providers navigate through a challenging and complex environment and find strategic pathways leading to sustainable success. The regulatory environment and the market dynamics in the healthcare industry are constantly evolving, and our clients seek our assistance to develop a strategy to improve their outcomes in payer negotiations. Our approach is founded in analytical exercises (e.g., benchmarking, financial scenario modeling, etc.) and driven by critical thinking to inform the managed care strategy and to unlock the full potential of an organization's value proposition. Guidehouse's commitment to investing in tech further supports the trend towards leveraging AI/automation to augment our service offerings and unlock the full potential of our services.
The Guidehouse Internship Program staffs interns on real world projects, showcasing the Guidehouse culture, and providing them with a meaningful consulting experience. Interns work with teams and provide real time deliverables in support of the clients. Each Intern is paired with a Buddy to serve as a resource that can assist them in navigating their Guidehouse experience.
Highlights of our Internship Program include:
+ 10-week experience in Summer 2026 (Anticipated to start Monday, June 8 and run until Friday, August 14)
+ Learning & Development Sessions (both E-learning & Instructor Lead)
+ Mid-Point and Final Evaluations
+ Corporate Social Responsibility (CSR) Intern Event
+ Networking & Social Activities and Events
+ Intern Speaker Series
+ Collaborative Group Projects
Our Interns help our clients improve their business processes, internal controls, operating efficiency, transparency and performance management, and ability to comply with federal laws and regulations. During your assignment, you will be given the opportunity to support projects to address some of the most significant project challenges faced by federal clients. Guidehouse projects are extremely fluid and require self-motivated individuals willing to develop solutions on their own or in a team of highly skilled professionals. Project members are provided the opportunity to interact with our clients' senior management and enhance their skills in the areas of technical competency, business development, client service and people development.
Throughout the internship, you will have the chance to work with our internal teams on the assigned project/contract, meet with upper management to reflect on your personal and professional development, and socialize with your fellow interns during outings/activities.
As an Intern, you will work with an experienced team to support the development of client deliverables, internal and client presentations, day-to-day project logistics, and any additional project tasks. This position provides individuals the opportunity to serve clients across a wide variety of functions including strategy, process improvement, analytics, accounting, information technology, communications, and project management.
Click through below to hear more about Guidehouse's Summer Internship Program!
You Will Need** **:**
+ Minimum Years of Experience: 0 years
+ Minimum Degree Status: Undergraduate Degree (Must still be enrolled in an accredited undergraduate or graduate degree program through Fall 2026 and graduate by Summer 2027)
+ Would not require sponsorship now or anytime in the future to work in the United States; Students possessing F-1 or J-1 visas are excluded from interview schedules or being hired for this position.
**What Would Be Nice To Have** **:**
+ Degree concentration in Business, Business Administration, Management, Business Analytics, Economics, Finance, Accounting, Health Administration, Health Informatics, Health Management, or similar is preferred
+ Previous internship or work experience preferred
+ Working knowledge of Microsoft Word, Excel, and PowerPoint
+ Knowledge of Business Analytics software Access, SAS or R, and/or SQL
+ Strong quantitative and organizational skills
+ Must be able to demonstrate written and oral communication and presentation skills
+ Excellent quantitative analysis skills
+ Ability to translate data into graphic or visual representations
The annual salary range for this position is $59,000.00-$98,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
**What We Offer** **:**
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
+ Medical, Rx, Dental & Vision Insurance
+ Personal and Family Sick Time & Company Paid Holidays
+ Position may be eligible for a discretionary variable incentive bonus
+ Parental Leave and Adoption Assistance
+ 401(k) Retirement Plan
+ Basic Life & Supplemental Life
+ Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
+ Short-Term & Long-Term Disability
+ Student Loan PayDown
+ Tuition Reimbursement, Personal Development & Learning Opportunities
+ Skills Development & Certifications
+ Employee Referral Program
+ Corporate Sponsored Events & Community Outreach
+ Emergency Back-Up Childcare Program
+ Mobility Stipend
**About Guidehouse**
Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.
_Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee._
View Now
1
Consultant - Managed Care, Payer Provider Advisory - Campus 2026
30309 Midtown Atlanta, Georgia
Guidehouse
Posted 2 days ago
Job Viewed
Job Description
**Job Family** **:**
Finance & Accounting Consulting
**Travel Required** **:**
Up to 75% **Clearance Required** **:**
None
All candidates who meet the minimum qualifications for this opportunity will be reviewed after the application period closes on **Thursday, Oct. 16.** Candidates who are selected to interview will be notified by **Friday, Oct. 24**
**What You Will Do** **:**
Guidehouse's Managed Care practice sits within the broader Payer Provider Advisory group. The Managed Care practice assists hospitals, health systems, private equity-backed organizations and other providers navigate through a challenging and complex environment and find strategic pathways leading to sustainable success. The regulatory environment and the market dynamics in the healthcare industry are constantly evolving, and our clients seek our assistance to develop a strategy to improve their outcomes in payer negotiations. Our approach is founded in analytical exercises (e.g., benchmarking, financial scenario modeling, etc.) and driven by critical thinking to inform the managed care strategy and to unlock the full potential of an organization's value proposition. Guidehouse's commitment to investing in tech further supports the trend towards leveraging AI/automation to augment our service offerings and unlock the full potential of our services.
Consultants support project teams both on client engagements (on and off-site) and internal projects. Responsibilities will include client and project management, data and information analysis, solution implementation and generation of project results. As a Consultant, a key function of your role will be to support the development and creation of quality deliverables that support essential project workstreams. You will gather and analyze data, identify gaps and trends, and make recommendations related to baseline performance and structure, as well as established best practices and benchmarks.
We encourage career development and hiring for the long term. As a Consultant, you will follow a clearly defined career path and continue to deepen your specialized industry knowledge and consulting skills. As you develop project management skills and leadership abilities, you will have the opportunity to progress to the Senior Consultant level.
**What You Will Need** **:**
+ Minimum Years of Experience: 0 years
+ Minimum Degree Status: Undergraduate Degree (Must still be enrolled in an accredited undergraduate or graduate degree program through Fall 2025 and graduate by Summer 2026)
+ Would not require sponsorship now or anytime in the future to work in the United States; Students possessing F-1 or J-1 visas are excluded from interview schedules or being hired for this position.
**What Would Be Nice To Have** **:**
+ Degree concentration in Business, Business Administration, Management, Business Analytics, Economics, Finance, Accounting, Health Administration, Health Informatics, Health Management, or similar is preferred
+ Previous internship or work experience preferred
+ Working knowledge of Microsoft Word, Excel, and PowerPoint
+ Knowledge of Business Analytics software Access, SAS or R, and/or SQL
+ Strong knowledge of and application of healthcare research resources
+ Strong quantitative and organizational skills
+ Must be able to demonstrate written and oral communication and presentation skills
+ Excellent quantitative analysis skills
+ Ability to translate data into graphic or visual representations
+ Some travel may be required from time to time, depending on client needs
The annual salary range for this position is $51,000.00-$85,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
**What We Offer** **:**
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
+ Medical, Rx, Dental & Vision Insurance
+ Personal and Family Sick Time & Company Paid Holidays
+ Position may be eligible for a discretionary variable incentive bonus
+ Parental Leave and Adoption Assistance
+ 401(k) Retirement Plan
+ Basic Life & Supplemental Life
+ Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
+ Short-Term & Long-Term Disability
+ Student Loan PayDown
+ Tuition Reimbursement, Personal Development & Learning Opportunities
+ Skills Development & Certifications
+ Employee Referral Program
+ Corporate Sponsored Events & Community Outreach
+ Emergency Back-Up Childcare Program
+ Mobility Stipend
**About Guidehouse**
Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.
_Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee._
Finance & Accounting Consulting
**Travel Required** **:**
Up to 75% **Clearance Required** **:**
None
All candidates who meet the minimum qualifications for this opportunity will be reviewed after the application period closes on **Thursday, Oct. 16.** Candidates who are selected to interview will be notified by **Friday, Oct. 24**
**What You Will Do** **:**
Guidehouse's Managed Care practice sits within the broader Payer Provider Advisory group. The Managed Care practice assists hospitals, health systems, private equity-backed organizations and other providers navigate through a challenging and complex environment and find strategic pathways leading to sustainable success. The regulatory environment and the market dynamics in the healthcare industry are constantly evolving, and our clients seek our assistance to develop a strategy to improve their outcomes in payer negotiations. Our approach is founded in analytical exercises (e.g., benchmarking, financial scenario modeling, etc.) and driven by critical thinking to inform the managed care strategy and to unlock the full potential of an organization's value proposition. Guidehouse's commitment to investing in tech further supports the trend towards leveraging AI/automation to augment our service offerings and unlock the full potential of our services.
Consultants support project teams both on client engagements (on and off-site) and internal projects. Responsibilities will include client and project management, data and information analysis, solution implementation and generation of project results. As a Consultant, a key function of your role will be to support the development and creation of quality deliverables that support essential project workstreams. You will gather and analyze data, identify gaps and trends, and make recommendations related to baseline performance and structure, as well as established best practices and benchmarks.
We encourage career development and hiring for the long term. As a Consultant, you will follow a clearly defined career path and continue to deepen your specialized industry knowledge and consulting skills. As you develop project management skills and leadership abilities, you will have the opportunity to progress to the Senior Consultant level.
**What You Will Need** **:**
+ Minimum Years of Experience: 0 years
+ Minimum Degree Status: Undergraduate Degree (Must still be enrolled in an accredited undergraduate or graduate degree program through Fall 2025 and graduate by Summer 2026)
+ Would not require sponsorship now or anytime in the future to work in the United States; Students possessing F-1 or J-1 visas are excluded from interview schedules or being hired for this position.
**What Would Be Nice To Have** **:**
+ Degree concentration in Business, Business Administration, Management, Business Analytics, Economics, Finance, Accounting, Health Administration, Health Informatics, Health Management, or similar is preferred
+ Previous internship or work experience preferred
+ Working knowledge of Microsoft Word, Excel, and PowerPoint
+ Knowledge of Business Analytics software Access, SAS or R, and/or SQL
+ Strong knowledge of and application of healthcare research resources
+ Strong quantitative and organizational skills
+ Must be able to demonstrate written and oral communication and presentation skills
+ Excellent quantitative analysis skills
+ Ability to translate data into graphic or visual representations
+ Some travel may be required from time to time, depending on client needs
The annual salary range for this position is $51,000.00-$85,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
**What We Offer** **:**
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
+ Medical, Rx, Dental & Vision Insurance
+ Personal and Family Sick Time & Company Paid Holidays
+ Position may be eligible for a discretionary variable incentive bonus
+ Parental Leave and Adoption Assistance
+ 401(k) Retirement Plan
+ Basic Life & Supplemental Life
+ Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
+ Short-Term & Long-Term Disability
+ Student Loan PayDown
+ Tuition Reimbursement, Personal Development & Learning Opportunities
+ Skills Development & Certifications
+ Employee Referral Program
+ Corporate Sponsored Events & Community Outreach
+ Emergency Back-Up Childcare Program
+ Mobility Stipend
**About Guidehouse**
Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
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2
Lead Analyst, Healthcare Analytics- Managed care analytics & financial contracts
30309 Midtown Atlanta, Georgia
Molina Healthcare
Posted today
Job Viewed
Job Description
**JOB DESCRIPTION**
***Candidates must be located in California and work PST hours.***
**Job Summary**
Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Develops, implements, and uses software and systems to support the department's goals.
+ Develops and generates ad-hoc and standard reports using SQL programming, excel , Databricks and other analytic / programming tools.
+ Coordinates and oversees report generation by team members and distribution schedule to ensure timely delivery to customers, ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring.
+ Provides peer review of critical reports and guidance on programming / logic improvements; provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques to determine significance and relevance.
+ Applies process improvements for the team's methods of collecting and documenting report / programming requirements from requestors to ensure appropriate creation of reports and analyses while reducing rework.
+ Manage the creation of comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
+ Create new databases and reporting tools for monitoring, tracking, and trending based on project specifications.
+ Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
+ Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
+ Maintains SharePoint Sites as needed, including training materials and documentation archives.
+ Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.
+ Must be able to act as a liaison between Finance and Network Contracting as well as other external teams.
+ Must have experience in Financial modeling, identifying Utilization mgmt. trends and monitor pair mix.
+ Experience with Medicaid contract analytics is highly preferred.
+ Experience working on Managed care analytics and healthcare reimbursement models is required.
+ Must be able to work in a cross functional team.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Computer Science
**Required Experience**
+ 6+ years of progressive responsibilities in Data, Finance or Systems Analysis
+ Expert knowledge on SQL, PowerBI, Excel, Databricks or similar tools
**Preferred Education**
Bachelor's Degree in Finance, Economics, Math, Accounting or related fields
Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
+ Proactively identify and investigate complex suspect areas regarding contract rate and related medical costs
+ Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
+ Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, etc.
+ Analysis of trends in medical costs to provide analytic support for finance, pricing, and actuarial functions
+ Multiple data systems and models
+ BI tools (Power BI)
**Preferred License, Certification, Association**
QNXT or similar healthcare payer applications
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
***Candidates must be located in California and work PST hours.***
**Job Summary**
Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Develops, implements, and uses software and systems to support the department's goals.
+ Develops and generates ad-hoc and standard reports using SQL programming, excel , Databricks and other analytic / programming tools.
+ Coordinates and oversees report generation by team members and distribution schedule to ensure timely delivery to customers, ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring.
+ Provides peer review of critical reports and guidance on programming / logic improvements; provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques to determine significance and relevance.
+ Applies process improvements for the team's methods of collecting and documenting report / programming requirements from requestors to ensure appropriate creation of reports and analyses while reducing rework.
+ Manage the creation of comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
+ Create new databases and reporting tools for monitoring, tracking, and trending based on project specifications.
+ Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
+ Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
+ Maintains SharePoint Sites as needed, including training materials and documentation archives.
+ Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.
+ Must be able to act as a liaison between Finance and Network Contracting as well as other external teams.
+ Must have experience in Financial modeling, identifying Utilization mgmt. trends and monitor pair mix.
+ Experience with Medicaid contract analytics is highly preferred.
+ Experience working on Managed care analytics and healthcare reimbursement models is required.
+ Must be able to work in a cross functional team.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Computer Science
**Required Experience**
+ 6+ years of progressive responsibilities in Data, Finance or Systems Analysis
+ Expert knowledge on SQL, PowerBI, Excel, Databricks or similar tools
**Preferred Education**
Bachelor's Degree in Finance, Economics, Math, Accounting or related fields
Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
+ Proactively identify and investigate complex suspect areas regarding contract rate and related medical costs
+ Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
+ Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, etc.
+ Analysis of trends in medical costs to provide analytic support for finance, pricing, and actuarial functions
+ Multiple data systems and models
+ BI tools (Power BI)
**Preferred License, Certification, Association**
QNXT or similar healthcare payer applications
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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