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.
The Senior Data Scientist supports management in producing innovative solutions driven by exploratory data analysis from diverse data sets and knowledge of statistics, and data modeling to identify opportunities to present valuable discoveries leading to proto@type development and product improvement to management to ensure minimal risk to HEDIS/Star ratings.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Support management with data verification, identifying and implementation of quality methods and standards of system procedures used to support department deliverables
Support management with practicing conflict resolutions and presenting solutions to leadership to support with unique and complex problems that directly impact the business
Support management with developing an audit process to measure quality assurance and ensure data integrity, conformity and accessibility, on performed deliverables conducted within department
Analyzes and trends HEDIS rates, identifies barriers to improve rates and collaborates with cross-functional teams to resolve barriers
Provides team support with interpretation, analysis and technical guidance for implementation of HEDIS/Star Specifications
Stays current on all CMS, NCQA, and HEDIS/Star communications to align WellMed data submissions strategies to minimize risk to data submissions, audits, and overall scores
Work on data verification, identifying and implementation of quality methods and standards of system procedures used to support department deliverables
Practicing conflict resolutions and presenting solutions to leadership to support with unique and complex problems that directly impact the business
Develop, reviews and analyzes on-going customer requests (for new data elements to be brought into the existing model, for customizations or cross-walking of existing data elements, for computation of new fields based on customer-provided business logic, combinations of existing data elements, etc.)
Functions as a primary contributor in designing, coding, testing, debugging, documenting and supporting all @types of applications consistent with established specifications and business requirements to deliver business value
Solves unique and complex problems with broad impact of business to translates highly complex concepts in ways that can be understood by a variety of business users
Devises data verification and quality methods and standard systems procedures that will be used to support Enterprise Data Warehouse and Business Intelligence platforms
Knowledge of HEDIS/Star technical specifications Measure build out requirements in accordance to annual specifications
Performs all other related duties as assigned
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:
High School Diploma/GED (or higher)
3+ years of experience in strong understanding of SQL Server (Version 2005 and Higher)
3+ years of experience working with inter-departmental teams
3+years of experience supporting executive management with department budgeting and strategic planning
2+ years of experience in CMS Star and NCQA HEDIS knowledge
Preferred Qualifications:
Bachelor's degree in related field of technology
3+ years of ETL Experience/SQL and Informatics
Healthcare industry experience
Experience supporting management with leading a business and technical team
Knowledge of HEDIS/Star regulatory requirements
Strong verbal and written communication skills
Excellent analytical and problem solving abilities
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
The salary range for this role is $89,800 to $176,700 annually based on full-time employment. 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.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
RPO #GREEN
