Senior Data Scientist - CMS Stars - Remote

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.

The Senior Reporting Analyst within Government Programs Quality Analytics will collaborate within a team that continues to reimagine the foundational metrics and analytics surrounding Quality at UHG, making them more actionable, transparent, accurate, and flexible. As a subject matter expert, the analyst will build and scale rules-based models and reporting to drive changes in the healthcare industry.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

• Build, enhance, and automate data pipelines using SQL procedures, SAS
• Build, enhance, and automate reporting in Tableau and Excel
• Build and enhance rules-based models based off CMS specifications and custom requests
• Convert informal and manual calculations/reports into structured SQL/Tableau
• Propose database design changes and collaborate with onshore and offshore teams on code reviews and implementation
• Track changes in Git
• Develop procedures to load, transform, and report on structured and unstructured data
• Be the subject matter expert of the rules-based models and the Star Rating predictive process
• Maintain processes to ingest data published by CMS
• Oversee inputs, calculations, output, and reporting for the CMS stars model
• Maintain the CMS lookup tables that drive the stars rules engine: Measure, Contract, Enrollment, Plan Information
• Liaison of inputs, methodology, outputs - UAT the entire process and apply short term fixes when the ideal solution will not be ready to meet reporting deadlines
  
  

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• 2+ years of experience with SQL, SAS or equivalent database experience
• 2+ years of experience with using or creating reports, e.g. Tableau, excel or other BI tools
• 2+ years of experience in Health care, Medicare, Medicare Star Ratings, CMS rules and regulations, or Medicaid
• Proven ability to analyze data and communicate to the business in writing and verbally
• Proven ability to problem solve and research conflicting and/or inaccurate data
  
  

Preferred Qualifications

• Experience working with statisticians or data scientists
• Hadoop (Hive/Spark), Sql Server, SAS EG
• Experience with non-database programming (e.g. Python or VB)
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  
  

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

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.