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July 23, 2009
Vice President-Federal Health-Prospective Payment Systems: Lewin Group
Location: Falls Church, VA
Ingenix is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.
We’re one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.
As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.
The Lewin Group is a premier national health care and human services consulting and policy analysis firm with more than 35 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors. Lewin’s strategic and analytical services aim to help clients:
- Improve policy and expand knowledge of health care and human service systems
- Enact, run, and evaluate programs to enhance delivery and financing of health care and family services
- Deal with shifts in health care practice, technology, and regulation
- Optimize performance, quality, coverage, and health outcomes
- Create strategies for institutions, communities, associations, foundations governments, and people to make health care and human services systems more effective
Responsibilities of this role include:
- Design and direct analyses on development of prospective payment systems and other payment bundling methods.
- Design and direct analyses to evaluate the impact of prospective payment systems and other payment bundling proposals, for example Medicare payment policies, and pay-for-performance proposals.
- Direct statistical and inferential analyses to provide specialized data analyses.
- Present as a knowledge expert results of analysis and capabilities, advantages and disadvantages of different Medicare and other payers’ payment methods, including but not limited to prospective payment systems, bundling, and pay-for-performance methods.
- Responsible for proposal writing, pricing strategy and contracting process, and serving as a technical expert reviewer on proposals.
- Directing modeling for risk adjustment and other data analytics working with large data sets.
Bring your talent as an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you’ll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever.
Qualifications:
Advanced degree (Ph.D) in Economics/Health Services Research or Related Field, and 7 - 10 years research experience analyzing and developing payment systems / methods, in particular priority is for experience with research on Medicare payment policy.
Extensive expertise with Medicare, Medicaid and public insurance policy. In-depth understanding of some/all of the following:
- Prospective Payment Systems (e.g., hospital, SNF, HH)
- RBRVS
- Medicare data
- DRG Grouping Systems
- APC Payment Methodologies
- Risk Adjustment
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Please email your resume to Yvette Torres at yvette_torres@uhc.com or call at (312) 424-4424 to inquire further.
