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Senior Consultant - Healthcare Analytics

Senior Consultant - Healthcare Analytics

UnitedHealth GroupHyderabad, Telangana, IN
30+ days ago
Job description

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

Primary Responsibilities :

  • Extract, analyze, aggregate, and interpret data for our broad range of clients
  • Lead quantitative analysis of health care claims utilization and cost data
  • Lead the development and design of complex data programs to construct detailed data sets leveraged for client reporting / analytics
  • Support in the development of junior analysts
  • Work closely with our teams to maintain, update, and continually improve the actuarial models
  • Work in a cross-functional team forming partnerships with the Medicare, Trend , and Commercial actuarial teams across RMI
  • Work closely with the actuary leading Rate filings to ensure rating methodology in rate filings is consistent with the rating model i.e. Medicare Bids
  • Manage the workload and career development of a small staff of actuarial analysts
  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and / or re-assignment to different work locations, change in teams and / or work shifts, policies in regards to flexibility of work benefits and / or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do s

Required Qualifications :

Advanced degree in Statistics, Physics, Mathematics, Engineering or similar analytic domain with a significant quantitative aspect.

Total industry work experience of 10+ years & Health care domain

Experience in dealing with health care claims experience and / or Pharmacy claims experience (i.e. understanding of costs, expected claims, diagnosis codes, procedure codes, pharmacy terminology)

Proficiency in Excel, SQL, SAS, and either of R, Python, Tableau, PowerBI, VBA, or predictive modeling

Solid written and verbal communication skills and experience interacting with senior management

Preferred Qualifications :

  • Around 2-3 years of experience in Data Science, AI / ML, or a similar role
  • Solid theoretical and practical knowledge of some or most Machine learning techniques like Random Forest, Support Vector Machine, Gradient Boosting Machine, XGBoost etc.
  • Expert level programming ability in Python / PySpark
  • Experience of developing and deploying machine learning models in production environments.
  • At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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    Senior Consultant • Hyderabad, Telangana, IN

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