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Concept Research Data Engineer - Eden Prairie, MN, Franklin, TN or US Telecommute

UnitedHealth Group

Franklin, TN
Job Code:
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Job Details

742708 Concept Research Data Enginer Eden Prairie MN Franklin TN or US Telecommute

Concept Research Data Engineer - Eden Prairie, MN, Franklin, TN or US Telecommute (742708)

Position Description

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. You'll help improve the health of millions. And you'll do your life's best work.(sm)


The Concept Research Data Engineer position requires strong data analysis and programming expertise utilizing healthcare data in order to detect incorrectly paid claims for all UHC segments (Medicare, Medicaid & Commercial) and claims platforms. The role is responsible for training team members on all data mining tools (i.e. SAS, Self Service, SQL, Excel, etc.).  In addition, they will utilize these tools to complete complex healthcare data queries to identify aberrancies, trends, outliers in claims data.  They will be responsible for creating scripts for team members. The role also involves researching potential claim overpayment hypotheses and when confirmed, presenting the findings for solution approval. Additionally, this position requires excellent communication skills in partnership with our partners and clients as well as working alongside the analysts and consultants to train, mentor and share knowledge on completing complex data pulls. An understanding of healthcare payment methodologies and policies as well as coding is recommended. This role will also support concepts to be used for crosspollination within the Commercial business.


You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Required Qualifications:

  • 3+ years of experience in healthcare
  • 3+ years of data analysis / programming experience working with large datasets / big data
  • Experience analyzing and manipulating complex unstructured data sets
  • Experience with SAS Programming
  • Experience with SQL coding
  • Ability to breakdown a complex problem into individual root causes
  • Ability to identify payment errors regardless of the claim system by reviewing data and possessing claims coding experience
  • Proficiency with MS Excel, Word, Outlook and PowerPoint
  • Knowledge of Medicare, Medicaid and / or Commercial health plan and payment methodology
  • Excellent communication skills (verbal and written)

Preferred Qualifications:

  • Experience communicating with senior level business leaders and stakeholders
  • Experience training and mentoring others analysts on data tools
  • Knowledge of UHC systems as well as desktop applications
  • Experience with claims processing or adjudication systems (Such as UNET, COSMOS, Facets, Diamond, etc. or provider billing / coding knowledge on Professional and Facility claims)
  • Software engineering experience (e.g. Java, OO design principles)
  • Experience with other Business Intelligence Tools like Cognos, TOAD
  • Bachelor’s degree and / or Master’s degree

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)


*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.



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: SQL, SAS, Claims, healthcare, data analysis, Franklin, TN, Tennessee, Eden Prairie, MN, Minnesota,California, Arizona, Texas, Telecommute, Telecommuter, Telecommuting, Remote, Work from home


Job Details

  • Contest Number742708
  • Job TitleConcept Research Data Engineer - Eden Prairie, MN, Franklin, TN or US Telecommute
  • Job FamilyHealthcare Economics
  • Business SegmentOptumInsight

Job Location Information

  • Franklin, TN
    United States
    North America
  • Other LocationsEden Prairie, MN

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 25 % of the Time
  • Telecommuter PositionYes
  • Overtime StatusExempt

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.

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