Healthcare Analytics & Technology Strategist - Telecommute

If you believe that there's always a better way to do business, make your way to UnitedHealth Group. Join us in our mission to change the landscape of the health care industry and its future. To do that, we need to be smart about the business of health care. That's where you come in. As a Senior Business Analyst, you'll put your business analysis and project management skills to empower teams to create and improve processes. You will design processes, lead project implementations and diagnose improvement opportunities as you develop innovative solutions. You'll be in the driver's seat on vital projects that have strategic importance to our mission of helping people live healthier lives. Yes, we share a mission that inspires. Yes, we need your organizational talents and business discipline to help fuel that mission. This is your chance to do your life's best work.(sm)

At UnitedHealthcare we unite the brightest and most innovative minds to transform organizations and improve health care through information, technology, and innovation.

UnitedHealthcare Advanced Research and Analytics (ARA) specializes in improving the performance of the health system by providing analytics, technology, and consulting services that enable better decisions and performance. We integrate workflow solutions that deliver data in real-time, create actionable insights, and drive innovation across the healthcare industry.

What can YOU do in UnitedHealthcare to change the healthcare industry? The possibilities and the impact on the Advanced Research and Analytics team are limitless. No matter what your role is you will be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. It's always fresh. It's always exciting. And it's never been more important.

What makes your Healthcare Analytics career greater with UnitedHealthcare? Advancement, access to data, ability to impact the healthcare industry, and rewards for delivering on our mission; Helping People Live Healthier Lives.

Primary Responsibilities:

Healthcare Analytics Consultant is responsible for performing comprehensive research, managing program analytical portfolios, and identifying consumer, provider, and operational irregularities.   You will need to have the ability to drive an enterprise level program in the technical domain.  You will investigate, research, and analyze claims data, applying knowledge of medical or pharmacy policy to determine details of fraudulent or abusive billing activity, internal and external forces on medical costs, as well as understanding the dynamics of medical cost reduction initiatives and payment integrity initiatives on operating costs and performance.

This position is also responsible for writing or governing complex statistical statements with the objective of developing methods in which to measure health care cost, utilization, quality, and risk to assist our customers in solving business problems.

Daily responsibilities include managing team and engagement production, meeting departmental turnaround times, ensuring the accurate and timely completion of algorithms. Additional responsibilities involve working with Analytics Directors on staffing needs, strategic trend identification, monitoring claim inventory, issue resolution and technical solutions related to data, data flow and algorithm development. 

This role will be expected to:

• Set team direction, resolve problems and provide guidance to members of own team


• Adapt departmental plans and priorities to address business and operational challenges


• Influence or provide input to forecasting and planning activities


• Make analytical product, service or process decisions likely to impact multiple groups of employees and/or customers (internal or external)


• Collaborate with Business Analysts and Methodologists to create working prototypes of solutions


• Facilitating or creating complex statistical statements on healthcare data that measures various aspects of healthcare services, consumer episodes, and operational events


• Prioritize and manage an analysis plan and several analytical work streams in support of UHC initiatives and programs


• Work with Process Engineering, Payment Integrity, Quality Assurance, and Operations to validate that the methods designed are accurately reflected in the delivered solutions

Required Qualifications:

• Bachelor's degree in Engineering, Economics, Healthcare Economics, Mathematics, Statistics, Biostatistics,  Computer Science, Theoretical Physics, Quantitative Social Sciences, Actuarial Science


• 2+ years of oversight of data management using big data to architect a product or suite of products 


• 3 years of research or problem solving experience  


• 3 years of statistical software experience (e.g., SAS , SPSS, or R)


• 2+ years of leading analytics projects at executive level 


• Demonstrated experience in analytics management


• Oversight of a matrix team (up to 10 people)

Preferred Qualifications:

• Master's degree  


• Entity resolution  experience


• Experience with SAS Enterprise Miner and Enterprise Guide


• Project experience with Teradata, Hadoop, or Fuzzy Logix


• SQL and VBA coding


• Experience with healthcare data, specifically in Medicare and Medicaid analytics, provider and consumer analytics, and Fraud, Waste, and Abuse (FWA) analytics

Successful Candidates will have the following soft-skills:

• Demonstrated time management and project management skills


• Ability to navigate and drive results in a matrix environment


• Ability to document and communicate complex technical concepts


• Competency to convert research requirements to analytical specifications


• Able to recognize technical and analytical problems and solution with minimal supervision


• Effective in fast-paced team-oriented Environment

Successful candidates will have the following technical abilities:

• Ability to create and analyze Generalized Linear models like Logistic regression Poisson regression


• Hands on experience with Statistical Data mining techniques like CART, Cluster analysis, solving Voronoi diagrams etc and Survival analysis


• Hands on experience with Forecasting models and Capacity planning models


• Very good knowledge of Design and Analysis of Experiments/ Response surface methodologies preferred


• Experience analyzing and coordinating financial data, generating reports, tables, listings and graphs


• Experience creating models in statistical programming software and analyzing the results of these models


• Predictive Scorecards (Risk Modeling) and Logistics Regression


• Experience in Correlation, Regression, Cluster Analysis, Factor Analysis, Logistic Regression, Discriminate Analysis, Customer Segmentation, and Conjoint Analysis

UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:

UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.

UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.

UnitedHealthcare Community & State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.

Together, we're removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.

Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.

Diversity creates a healthier atmosphere: 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: Healthcare Economics, Statistics, Computer Science, Quantitative , big data, research, statistical software, technology, healthcare analytics, SAS, SQL, R, SPSS, SAS enterprise, Teradata, Hadoop, Fuzzy Logix, entity resolution, telecommute, work from home