Job Details


Company name
UnitedHealth Group

Eden Prairie, MN

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We're changing the way health care works for the better. That means consulting with our members, partnering with our physicians, and delivering drugs in the most efficient and effective way. Join us and start doing your life's best work.(sm)

We are currently looking for a Sr. Data Scientist to join our team to work alongside like-minded Principal Data Scientists on the development and delivery of large and complex predictive modeling projects for healthcare Payment Integrity claim/case/membership detection.  This individual works with operations or business analysts to identify the project requirements and the expected outcome.  They team up with fellow Data Scientists to discover business insights, identify opportunities, and provide solutions and recommendations to solve business problems through the use of statistical, algorithmic, data mining and visualization techniques.  In addition to advanced analytic skills, this Sr. Data Scientist is also proficient at integrating and preparing large, varied datasets, architecting specialized database and computing environments, and communicating results.

Primary Responsibilities:

Apply advanced statistical and predictive modeling techniques to build, maintain, and improve on multiple predictive detection engines in Advanced Analytics Labs

Lead discovery processes with fellow Sr. Data Scientists and Principal Data Scientists and partner with Payment Integrity Operation management to identify the business requirements and the expected outcomes

Create and provide sound statistical analyses and frame business scenarios that are meaningful and which impact on critical business processes and/or decisions

Collaborates with data stewards to gather information to be used for analytics and predictive model building purposes and to ensure the data meets the qualifications and assurance requirements of the analyses

Design sampling methodology, prepare data, including data cleaning, univariate analysis, missing value imputation, etc., identify appropriate analytic and statistical methodology, develop predictive models and document process and results

Communicate analytics results and predictive models to business partners and clients

Provide on-going tracking and monitoring of performance of statistical models and recommends ongoing improvements to methods and algorithms that lead to findings, including new information
Required Qualifications:

Masters or Ph.D. degree in Data Science, (bio) statistics, applied statistics, applied mathematics, economics, or similar quantitative fields of study

5 years of experience of hands-on modeling skills and strong analytic programming skills using SAS tools, including SAS/BASE, SAS/STAT, and SAS Enterprise Guide 

2 years of SAS Enterprise Miner

5 years of experience manipulating large datasets and using databases

Self-motivated, capable to grasp analytical concepts and clearly understand how analytical solutions can help customers reduce their healthcare claim costs

Demonstrable ability to quickly understand new concepts-all the way down to the theorems- and to come out with original solutions to mathematical issues

Preferred Qualifications:

2 years demonstrated experience in the following Big Data and Machine Learning technologies

R, Python, Java, or Scala languages

Spark ML, Scikit-learn, H2O, TensorFlow, or related ML libraries 

Adaptable & experienced in converting SAS-based models to R, Python, or related open source

Working knowledge and understanding of medical coding, including ICD, CPT, DRG, etc.

Experience with health care claims data and Payment Integrity processes highly preferred

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

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.

Job Keywords: Payment Integrity, Fraud, Modeling, Claims, Medical, COB, Coordination of Benefits, Logistic Regression, Neural Network, Decision Tree, Machine Learning

Company info

UnitedHealth Group
Website :

Company Profile
About UnitedHealth Group UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone. We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term

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\nWe're changing the way health care works for the better.  That means consulting with our members, partnering with our physicians, and delivering drugs in the most efficient and effective way. Join us and start doing your life's ...
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