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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:

Business Operations



Approximate Salary:

Not Specified

Position Type:

Full Time

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Principal Statistician - Gurgaon, HR (Multiple Locations)

UHG - Gurgaon, Haryana, India

Posted: 08/9/2018

We are looking for Analytics professionals in payment integrity for the stats and modeling data analytics team. The candidates will be responsible for delivering various fraud analytics statistical projects based on US healthcare data and other consulting assignment. These projects may involve model development, validation, governance, implementation, and end to end delivery.

Primary Responsibilities:

  • Lead and work closely with junior/senior statisticians to deliver Fraud, Waste, Abuse (FWA) statistical projects

  • Team builds models through advanced statistical techniques

  • Provide support to management in business development, client proposals and in building strong relationships with global analytics teams

  • Collaborate across business units with stakeholders, providing thought leadership, and driving day-to-day implementation of our analytics strategy

  • Evaluate statistical methods used to obtain the data to ensure validity, applicability, efficiency and accuracy

  • Interpret end-user technical requirements by specifying economic decision models, determining appropriate data sources, and performing detailed statistical analysis

  • Create, analyze, and maintain explanatory/predictive models of clinical behaviors on healthcare claims data

  • All phases of the modelling process: research design, data extraction and cleaning, model building and validation

  • Research on the new fraud & abuse patterns and ideate new assignments/projects basis the secondary/data driven research

  • Lead the advanced statistics domain for the team & develop/refine/improve predictive models using advance SAS, R & machine learning techniques and mentors junior/senior analysts/statisticians to develop their modeling/statistical skills

  • Maintain staff by recruiting, selecting, orienting, and training employees; maintaining a safe, secure, and legal work environment; developing personal growth opportunities and accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards

  • Coordinate with clinical/Coding SMEs for seeking the inputs to explore data extraction approach and road map the analysis mile stones

  • Develop and maintain working relationships with key customer stakeholders

Required Qualifications:
  • Master’s degree in math or statistics from top universities (Tier I/II) with strong record of achievement and approximately 6+ years of relevant work experience

  • 5-7 years of work experience in the area(s) of statistical analysis, data modelling

  • 3-5 years of project management experience

  • Experience comprising analytics service delivery, solution design and client management

  • Experience in data analytics, predictive & statistical modeling, strategy, project management, team management and business development

  • Expert in data analytics with significant amount of project delivery skills in one or more of the following areas: Model Building, Model Validation, Fraud detection Analytics, Risk Analytics, Multivariate Analysis

  • Expert focused on helping team improve modeling predictability, analytics driven strategy development, operational efficiency

  • Excellent knowledge of SAS, R, or any other statistical software to carry out analysis and drive conclusions

  • Knowledge of statistical tools and techniques, especially those relating to data mining & analysis

  • Ability to handle/work on large data sets

  • Strong project management skills, ability to influence cross-functionally in a rapidly evolving business environment while managing multiple/concurrent projects

  • Demonstrable leadership ability, superior problem solving, willingness to take initiative, and people management skills

  • Excellent MS office skills (MS Word, MS Excel)

  • Ability to display strong communication, interpersonal, and leadership ability across all levels coupled with effective problem solving, conceptual thinking, quantitative and analytical skills

  • Ability to communicate ideas effectively and concisely to all levels of Management, business partners, and to other external clients

  • Ability to work independently and with a team

Preferred Qualifications:

  • Certifications:

           - Technical: SAS, R

           - Project management: PMP

           - Healthcare Domain: AHM

  • Supervisory or managerial experience

  • Experience/interest in Python, Tableau, Machine Learning

  • Experience/interest in building Machine Learning Systems using Big Data

  • Experience/interest in data visualization and presentation

  • Knowledge of US/UK/Indian/Middle-East Healthcare System, Specially Fraud Management

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Job Keywords: Principal Statistician, Statistician, Statistical Analysis, Statistical Analyst, Data Model, Data Modelling, Project Management, Project Manager, Model Building, Model Validation, Fraud Detection Analytics, Risk Analytics, Multivariate Analysis, SAS, R, Statistical SOftware, Statistical Tool, Data Mining, Gurgaon, Haryana, Noida, Uttar Pradesh

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