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Principal Data Scientist - Payment Integrity

UnitedHealth Group

Eden Prairie, MN
Job Code:
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Job Details

Principal Data Scientist - Payment Integrity(Job Number:723585)

We're changing the way health care works for the better. That means consulting with our members, partnering with our physicians, and delivering drugs in the most efficient and effective way. Join us and start doing your life's best work.(sm)


Primary Responsibilities:

  • Analytic thought leader with strong analytic, communication, and program management skills to lead management, development and integration of a portfolio of analytics that will form the intelligent engine of visually displayed insight to help health care professionals uncover fraud and other types of overpayments
  • Lead, develop, evaluate and present new techniques and methodologies to identify fraud and other forms of overpayments
  • Collaborate with other analytic teams to create analytic development projects that will be deployed through Optum end user tools for fraud and overpayment detection
  • Translate the results of the new methodologies into requirements for tool developers to include in end user applications
  • Create and provide sound statistical analyses and develop predictive models using structured and unstructured data, and frame business scenarios that are meaningful and which impact our critical business processes and / or decisions
  • Design sampling methodology, prepare data, including data cleaning, univariate analysis, missing value imputation, etc., identify appropriate analytic and statistical methodology, develop predictive models and document process and results
  • Communicate analytic results and predictive models to business partners and clients
  • Provide on - going tracking and monitoring of performance of analytic applications and recommend ongoing improvements to methods and algorithms that lead to findings, including new information
  • Recommend ongoing improvements to methods and algorithms that lead to findings, including new information

Job Biostatistics
Primary Location US-MN-Eden Prairie
Other Location US-WI-Wauwatosa, US-MD-Frederick, US-TN-Franklin
Organization Optum Ops-Shared Svcs Analytcs
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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