Data Engineer - Provider Pricing - Telecommute at Optum

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Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)
The 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 telecommute* 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
  • Assemble large and complex data sets that meet business functional requirements
  • Identify, design, and implement internal process improvements 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
  • Keep internally created pricing tools secure and functioning by preforming regular maintenance and break/fix functions
  • Maintain pricing knowledge by working with Configuration Analysts, Managers, Supervisors, Technology, and Subject Matter Experts to support and promote accurate provider processing
  • Generate claim reports that help scale and quantify rework associated with incorrect provider pricing installation

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:
  • 5+ years of experience applying advanced SQL knowledge: working with relational databases, query authoring, performing backend table updates, as well as familiarity with a variety of database types.
  • 5+ years of experience working with and optimizing 'big data' data pipelines, Facets architecture and data sets
  • 5+ years of experience performing root cause analysis on internal and external data and processes to answer specific business questions and identify opportunities for improvement
  • 5+ years of experience working in a medical insurance & provider pricing organization
  • 5+ years of Facets / NetworX Pricing configuration experience
  • Experience supporting and working with cross-functional teams (Provider Pricing, Provider Data Management, Network Contractors, Claim Operations, Contract Management Experts, or others as needed)
  • 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 or healthcare
  • Experience with UHC Secondary Platforms (NDB, COSMOS, NICE and PULSE)
  • Understanding of physician, facility and ancillary contract reimbursement methodology, both Medicare and Commercial products
  • Understanding of physician, facility and ancillary contract reimbursement methodologies to support Medicare, Medicaid and Commercial products
  • Strong analytic skills related to working with unstructured datasets

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment .
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)
Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. 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 Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy
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.
Job Keywords: Data Engineer, Provider Pricing, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote
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