UnitedHealth Group - Senior Business Analyst - Statistician

Discipline - Business Operations

Industry - Business Analysis

Job Description :

- Build Mathematical Rules & Models (algorithms) to capture Aberrant billing patterns by a team of certified coders, statistical analysts & SAS programmers working together for fraud & abuse detection.

- Team builds models through advanced statistical techniques of multivariate analytics with basic germane of US healthcare claims expertise

Job Responsibilities :

- Analyzing allegation related data to come up with solutions (using available tools).

- Create, analyse and maintain explanatory/predictive models of clinical behaviors using healthcare claim data.

- Work includes all phases of the modelling process: research design, data extraction and cleaning, model building and validation.

- To work through the entire life cycle of a project from inception to implementation.

- To research on the new fraud & abuse patterns & generate new projects basis the research.

- 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

No. of Openings : 1

Qualification :

Mandatory Skill Set :

- Knowledge of statistical tools and techniques, especially those relating to data mining

- 3 to 5 years of work experience in the area(s) of statistical analysis/modelling/data mining

- Demonstrated ability to work with large data sets

- 3 to 5 years of work experience in the area of analytics/data analysis

- Experience in SAS 1 to 2 years

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

Preferred Knowledge :

- Knowledge of US Healthcare

- R,- Tableau, Clementine, VBA -Optional

- Programming ability

Educational Qualification : Masters in Statistics/Maths/Econometrics

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