Sr Data Scientist - Telecommute

UnitedHealth Group•Plymouth, MN

6d•$91,700 - $163,700•Remote

About The Position

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. We are seeking a highly analytical and results-driven professional to support healthcare claims analytics, pricing accuracy, and operational performance initiatives. This role is responsible for leveraging large-scale healthcare claims data to generate actionable insights, improve claim estimation accuracy, validate business processes, and support enterprise claims adjudication and pricing strategies. The ideal candidate combines solid analytical and technical expertise with a deep understanding of healthcare claims data, enabling effective collaboration across business, operations, product, and technology teams. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

5+ years of experience in healthcare analytics, claims analytics, data science, or a related analytical role
Solid knowledge of healthcare claims processing, claim adjudication, pricing methodologies, and benefit structures
Experience working with healthcare claims platforms such as Facets, CSP, or other enterprise claims adjudication systems
Advanced SQL and data analysis skills, including experience with large datasets and cloud-based analytics platforms (Databricks, Snowflake, Azure, etc.)
Proficiency in data visualization and reporting tools such as Power BI, Tableau, or similar platforms
Experience presenting analytical findings to both technical teams and executive stakeholders
Solid problem-solving, analytical thinking, and communication skills
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Responsibilities

Analyze large-scale healthcare claims datasets to identify trends, patterns, anomalies, and opportunities for improving cost accuracy, benefit validation, and operational efficiency
Conduct deep-dive analyses of claim performance metrics, including cost estimate accuracy, denial drivers, benefit validation outcomes, and claim adjudication results
Translate complex analytical findings into clear, actionable recommendations that support business decision-making and operational improvements
Develop analytical frameworks and performance measurement methodologies to evaluate claim outcomes and drive continuous process optimization
Develop, enhance, and maintain data pipelines, datasets, and analytical models that support claims processing, pricing, and estimation workflows
Partner with engineering and data teams to ensure data quality, consistency, and reliable integration across enterprise data sources and platforms
Support the design and implementation of scalable analytical solutions that enable efficient reporting, monitoring, and decision support
Leverage data from enterprise claims platforms, including CSP Facets and related adjudication systems, to validate business logic, investigate data discrepancies, and ensure alignment between estimated and actual claim outcomes
Design and execute analytical testing strategies for trial claims, MBO validation runs, and large-scale claims testing initiatives
Measure and compare performance across claim adjudication engines, identifying root causes of variance and recommending corrective actions
Support defect identification, root cause analysis, and validation efforts throughout the claims lifecycle
Collaborate with product, operations, business, and technology stakeholders to support strategic initiatives related to claim estimation, adjudication, pricing accuracy, and operational excellence
Partner with subject matter experts to define requirements, validate methodologies, and ensure business objectives are accurately translated into analytical solutions
Serve as a trusted advisor by providing data-driven insights and recommendations to support program planning and decision-making
Build and maintain dashboards, reports, scorecards, and visualizations that communicate performance metrics and key insights to stakeholders and leadership
Present findings and recommendations to both technical and non-technical audiences, ensuring clear understanding of business impacts and opportunities
Monitor key performance indicators and proactively identify emerging trends or potential risks
Identify opportunities to automate recurring analytical processes and improve operational efficiency
Support continuous improvement initiatives through process optimization, advanced analytics, and data-driven recommendations
Contribute to the development of scalable analytical tools, testing frameworks, and reusable reporting assets