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Job Details
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:
- Part of a team of dedicated actuaries and data scientists to study the usage of ML-based algorithms applied to historical pharmacy, inpatient notification data, prior authorization data and ultimate utilization and claims data to identify predictive capabilities that can enhance UHC’s current trend forecasting models
- Work with the operational team to identify opportunities to use additional inventory data and apply ML-base algorithms to determine claim denial/appeal likelihood for potential use in our current reserving methods that rely on historical percentages of pended claim payment
- Work with the E&I forecasting and reserving teams to formally implement ML-based techniques
- Collaborates with IT partners on hardware (on-prem and cloud), software, and other infrastructure needed to enable AI and ML strategy
- Stay connected and involved with UHG’s broader AI/ML strategy
- 5+ years healthcare industry experience in a data science or advanced analytics role
- 5+ years of experience working in high-level statistical programming language (e.g. Python, R)
- Experience with Git version control system and knowledge of DevOps and agile development practices
- Experience working with data from a variety of sources (e.g. databases, JSON, text-based, and unstructured data)
- Experience designing and implementing ETL processes
- Experience in applying data science concepts (predictive analytics, machine learning, unsupervised learning) to solve practice business problems
- Proficiency in SQL; experience writing well-structured and efficient queries
- Associateship or Fellowship designation from the Society of Actuaries
- Credential in data science (SOA’s predictive analytics certificate or master’s degree in data science)
- Experience working with traditional actuarial-based forecasting and reserving models and methods
- Proven excellent storytelling skill set and mastery of communicating complex technical information to a non-technical audience
About the Company
UnitedHealth Group
Minnetonka, MN, United States
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are... Read more