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Hours Full-time, Part-time
Location Chicago, IL
Chicago, Illinois

About this job


If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)
 
The Healthcare Data Scientist is responsible for participating in the full array of analytics, clinical analytic consulting and applied analytic activities at Optum. Conducts quantitative and qualitative analyses on clinical outcomes, authors quality reports and assists in the development of new clinical programs. Serves as a content expert in clinical methodologies and analytic techniques applied to large claims databases. The Healthcare Data Scientist provides clinical support for outcomes studies and projects; and contributes to their conceptualization and design, synthesizing and disseminating results to internal constituents at Optum as well as to Optum’s clients.
 
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
Primary Responsibilities:


Design and develop analytic methodologies for multiple projects on a wide variety of total health care and clinical pharmacy issues
Provide consultative support to internal teams and external collaborators, support the development of clinical analytic approaches, draft analytic approaches, evaluate clinical value, and lead the interpretation and positioning of analytic findings and value
Responsible for clinical report development and presentation of findings, including identification of actionable insights related to Optum’s value in terms of clinical quality, cost outcomes and patient safety
Develop clinical quality assurance and improvement processes and reports
Develop the approach for integration of new and existing provider performance data into comprehensive analytic evaluation tools
Conduct data analyses for evaluating healthcare cost effectiveness and quality, health systems impact, and other health related outcomes
Generate actionable insights and make strategic recommendations that drive decision in quality area
Identify best practices and innovations in Optum leveraging data for impact to effect continuous quality improvement (clinical and non - clinical) and recommend performance improvement activities
Design predictive modeling and data mining approaches, based on quality, utilization and cost data, to support consistent delivery of cost - effective, high quality care initiatives that can drive value for our clients
Propose clinical methodologies and execute a wide variety of data analysis activities
Assess and validate use of various externally available datasets to improve the outcomes and design of clinical analytics, such as outcomes, Census data, and Consumer behavior data
Build consensus with clients, clinicians, product managers and executives on clinical analytic strategies and priorities
Develop ideas for new clinical analytic projects and programs to strengthen partner relationships with Optum’s client base
Serve as liaison to vendors to develop and evaluate reports related to clinical decision-making, reliability, validity and productivity
Serve as project leader, or clinical research manager
Author or co - author clinical analytic reports and peer-reviewed articles
Prepare and give presentations at conferences for the field
Translate complex clinical analytic concepts for executive or lay audiences
Have major responsibility for the management of specific projects or tasks
Must have the ability to work on multiple Tasks at once
Adapt to change quickly

Requirements


Required Qualifications:


Master’s degree in statistics, mathematics, computing sciences, public health or related discipline with relevant healthcare experience
Expert in using analytic software programs, including hands on ability to code in SAS and SQL, and expert in MS Office tools including Excel, Access,  Word, Visio and Power Point
5+ years of progressive experience in conducting analytic projects using administrative pharmacy and medical claims, preferably in a Pharmacy benefit manager, health insurance company,  or other healthcare setting
3+ years of experience with pharmacy and medical metrics and clinical quality measures, with critical thinking skills to apply variations of methods based on business needs
3+ years of progressive experience and leadership in clinical analytics in a healthcare environment is essential
Preferred Qualifications:

Strong written and verbal communication skills are needed, including the ability to “translate” analytic  concepts, approaches and results for executive or lay audiences, and analytic interpersonal skills with an ability to communicate to small and / or large audiences (both internal and external to Optum)
Experience in communicating to a senior management audience and ability to drive consensus on complex, controversial issues
Knowledge of Specialty Pharmacy
Demonstrated success in analytic or healthcare related consulting engagements
Demonstrated experience in planning and execution of complex analytic projects
Knowledge  of pharmacy and medical metrics and clinical quality measures, with critical thinking skills to apply variations of methods based on business needs
Requires demonstrated analytic skills and creativity to quickly integrate information and develop proposals for new analytic initiatives
Demonstrate curiosity and determination in pursuing complex and innovative approaches to data needs
Careers with OptumRx. We’re one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You’ll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There’s no better place to help people live healthier lives while doing 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: Healthcare, Data, Analyst, Chicago, Illinois, IL, Irvine, CA, California