Help us maintain the quality of jobs posted on PowerToFly. Let us know if this job is closed.
Job Details
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We have several new opportunities for SAS Application Developers to join our Data Analytics team. You will lead SAS program design and deliver the technical SAS solution for both small and strategic project change within the SAS environment. In addition, you will develop and execute fraud algorithms for Medicare, Medicaid and commercial clients using SAS, ORACLE, and other programming languages, as needed. You’ll enjoy the flexibility to work remotely* from anywhere in the U.S. as you take on some tough challenges. Primary Responsibilities:
- Provide realistic cost and resource estimates for algorithms programming
- Conduct data extraction that may include analyzing, reviewing, trending and presenting information, based on provided specs, to support or refute hypotheses leading to the initial identification of heath care fraud & abuse
- Able to interpret and create requirements, functional specifications and technical design documents following a brief and communicate these effectively to the team
- Perform unit, system and regression testing for SAS programs for quality
- Analyze healthcare claims from different data sources and identify the data integrity issues
- Conduct analyses of data elements within existing source data mart schemas
- Assist others in understanding data as they summarize and present complex patterns of fraud in the form of easily deciphered datasets to Healthcare Data Analysts
- Performance tuning of central SAS resources to support reporting and ad-hoc trend analysis
- Guide and advise SAS programmers to identify and improve the efficiency of current SAS programming practices
- Provide expertise, promote best practices and assist in the evaluation of emerging fraud project initiatives
- Contribute to knowledge sharing, ideas and information relating to SAS technologies and be the key technical expert within the team
- Program for new and existing standardized templates, in support of Fraud Analytics’ algorithm production infrastructure
- Work with Fraud Analytics to develop new and modify existing process documentation and templates
- Lead/Mentor new and existing team members
- Conduct research studies that may include analyzing, reviewing, trending and presenting information to support or refute hypotheses leading to the identification of facility heath care fraud & abuse
- Data analysis of medical claim history to substantiate fraud and abuse allegations stemming from pattern analysis, subject matter experts, professional associations, media and other sources
- Identifies, coordinates, drafts, executes, and presents analyses on estimated over payments and other identified aberrant billing patterns
- Summarize and present complex patterns of fraud and abuse to internal and external subject matter experts and customers
- 3+ years SAS experience
- 1+ years SQL experience
- 1+ years Unix/Linux experience
- 1+ years Healthcare Member and Claims data experience
- Azure, Scala, Pyspark, and ADF experience
- Relational Database experience - Oracle, Teradata, SQL Server, etc.
- Data Analysis experience
- Business Analysis experience
- Technical Artifact experience
- Functional Testing experience
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