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 issuesProvide 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 valueResponsible 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 safetyDevelop clinical quality assurance and improvement processes and reportsDevelop the approach for integration of new and existing provider performance data into comprehensive analytic evaluation toolsConduct data analyses for evaluating healthcare cost effectiveness and quality, health systems impact, and other health related outcomesGenerate actionable insights and make strategic recommendations that drive decision in quality areaIdentify best practices and innovations in Optum leveraging data for impact to effect continuous quality improvement (clinical and non - clinical) and recommend performance improvement activitiesDesign 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 clientsPropose clinical methodologies and execute a wide variety of data analysis activitiesAssess 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 dataBuild consensus with clients, clinicians, product managers and executives on clinical analytic strategies and prioritiesDevelop ideas for new clinical analytic projects and programs to strengthen partner relationships with Optum's client baseServe as liaison to vendors to develop and evaluate reports related to clinical decision-making, reliability, validity and productivityServe as project leader, or clinical research managerAuthor or co - author clinical analytic reports and peer-reviewed articlesPrepare and give presentations at conferences for the fieldTranslate complex clinical analytic concepts for executive or lay audiencesHave major responsibility for the management of specific projects or tasksMust have the ability to work on multiple Tasks at onceAdapt to change quickly
Required Qualifications: Master's degree in statistics, mathematics, computing sciences, public health or related discipline with relevant healthcare experienceExpert 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 Point5+ 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 setting3+ years of experience with pharmacy and medical metrics and clinical quality measures, with critical thinking skills to apply variations of methods based on business needs3+ years of progressive experience and leadership in clinical analytics in a healthcare environment is essentialPreferred 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 issuesKnowledge of Specialty PharmacyDemonstrated success in analytic or healthcare related consulting engagementsDemonstrated experience in planning and execution of complex analytic projectsKnowledge of pharmacy and medical metrics and clinical quality measures, with critical thinking skills to apply variations of methods based on business needsRequires demonstrated analytic skills and creativity to quickly integrate information and develop proposals for new analytic initiativesDemonstrate curiosity and determination in pursuing complex and innovative approaches to data needsCareers 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
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.