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About
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. The Sr. Data Engineer will work in partnership internal teams to perform the following functions: create and maintain pricing data architecture, assemble large data sets that meet functional / non-functional business requirements; identify, design, and implement internal process improvements: automating manual processes and optimizing data delivery; build infrastructure to house pricing sources obtained from CMS and state Medicaid agencies; work with stakeholders including Pricing Configuration Managers, Supervisors and Subject Matter Experts to assist with data related technical issues for tools developed internally to support contract and fee schedule installation. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Creation and maintenance of pricing source data obtained by CMS or state Medicaid Agencies Extract, transform/restructure, and load large and complex data sets to meet business functional requirements Identify, design, and implement internal process improvements and controls by working with stakeholders to understand opportunities related to provider pricing functions Build analytic tools that utilize pricing data from Facets, NetworX, CMS, or Medicaid that provide actionable insights into provider pricing configuration, operational efficiency and other key business performance metrics Create and maintain documentation and user guides for programs developed for others' use Keep internally created pricing tools secure and functioning by performing regular maintenance and break/fix functions Participate in meetings and provide technical expertise related to the feasibility of program development Generate MSSQL reports and transform them into presentable formats acceptable for executive level leadership Collaborate with Directors, Managers and SMEs to gain criteria necessary to capture pricing-based claim scenarios that help scale and quantify impacts Manage projects to expected deliverable dates 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: Bachelor's degree or equivalent work experience 5+ years of working with advanced SQL knowledge and experience working with relational databases, query authoring (SQL), performing backend table updates, as well as familiarity with a variety of database types 5+ years' experience working with data associated physician, facility and ancillary reimbursement methodologies for both Medicare, Medicaid, and Commercial products 5+ years of experience working in a medical insurance & provider pricing organization Experience working with and optimizing 'big data' data pipelines, Facets architecture and data set Experience performing root cause analysis on internal and external data and processes to answer specific business questions and identify opportunities for improvement Experience supporting and working with cross-functional teams (Provider Pricing, Provider Data Management, Network Contractors, Claim Operations, Contract Management Experts, or others as needed) Proven solid analytic skills related to working with unstructured datasets Proven successful history of manipulating, processing and extracting value from large datasets and creating tools to support extraction tools and processes for others to use Preferred Qualifications: Undergraduate degree in business, healthcare or related field Experience working with claims data from Facet or with UHC Secondary Platforms (NDB, COSMOS, and NICE) Careers at OptumCare. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place to do your life's best work. OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians. California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $85,000 to $167,300. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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. All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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