Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Part of a team of dedicated actuaries and data scientists to study the usage of ML-based algorithms applied to historical pharmacy, inpatient notification data, prior authorization data and ultimate utilization and claims data to identify predictive capabilities that can enhance UHC’s current trend forecasting models
- Work with the operational team to identify opportunities to use additional inventory data and apply ML-base algorithms to determine claim denial/appeal likelihood for potential use in our current reserving methods that rely on historical percentages of pended claim payment
- Work with the E&I forecasting and reserving teams to formally implement ML-based techniques
- Collaborates with IT partners on hardware (on-prem and cloud), software, and other infrastructure needed to enable AI and ML strategy
- Stay connected and involved with UHG’s broader AI/ML strategy
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 healthcare industry experience in a data science or advanced analytics role
- 3+ years of experience working in high-level statistical programming language (e.g. Python, R)
- Experience with Git version control system and knowledge of DevOps and agile development practices
- Experience working with data from a variety of sources (e.g. databases, JSON, text-based, and unstructured data)
- Experience designing and implementing ETL processes
- Proficiency in SQL; experience writing well-structured and efficient queries
Preferred Qualifications:
- Experience in applying data science concepts (predictive analytics, machine learning, unsupervised learning) to solve practice business problems
- Experience working with traditional actuarial-based forecasting and reserving models and methods
- Proven excellent storytelling skill set and mastery of communicating complex technical information to a non-technical audience
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $88,000 to $173,200 annually. 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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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 employers 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