The Role
Develop and optimize advanced analytics, machine learning models, prioritization logic, scoring methodologies, and production analytical solutions for healthcare provider engagement and quality outcomes. Own the full lifecycle from problem definition through monitoring, collaborate with data and business stakeholders, translate findings into recommendations, and improve the Key Measures Model using new data, methodologies, and AI/ML technologies.
Summary Generated by Built In
Requisition Number: 2371497
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 invite you to bring your performance, ideas, and innovations to an elite team within a culture built for collaboration. At UnitedHealth Group, we seek individuals who can drive change, take appropriate risks, and influence stakeholders at all levels of the organization.
As a Senior Data Scientist within Star Ratings Analytics (UHC Medicare & Retirement), you will help maintain and reimagine the foundational metrics and analytics behind the Key Measures Model (KMM) and related products. This includes making them more actionable, transparent, accurate, and flexible, while incorporating new methodologies, partnerships, and technologies.
This role focuses on advanced analytics and data science, enabling end-to-end ownership of analytical solutions that power provider and member engagement at scale. As a subject matter expert, you will recommend innovative approaches that help transform healthcare delivery and quality outcomes. Join us -- there's never been a better time to do your life's best work.
We are seeking a Senior Data Scientist to support the Key Measures Model (KMM) engine and its downstream products (e.g., KMOR). This role focuses on advanced analytics and analytical solution development to drive provider engagement and quality performance.
You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
KMM Capability Development
Advanced Analytics & Modeling
End-to-End Delivery
Cross-Functional Collaboration
Innovation & Continuous Improvement
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:
Preferred Qualifications:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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 invite you to bring your performance, ideas, and innovations to an elite team within a culture built for collaboration. At UnitedHealth Group, we seek individuals who can drive change, take appropriate risks, and influence stakeholders at all levels of the organization.
As a Senior Data Scientist within Star Ratings Analytics (UHC Medicare & Retirement), you will help maintain and reimagine the foundational metrics and analytics behind the Key Measures Model (KMM) and related products. This includes making them more actionable, transparent, accurate, and flexible, while incorporating new methodologies, partnerships, and technologies.
This role focuses on advanced analytics and data science, enabling end-to-end ownership of analytical solutions that power provider and member engagement at scale. As a subject matter expert, you will recommend innovative approaches that help transform healthcare delivery and quality outcomes. Join us -- there's never been a better time to do your life's best work.
We are seeking a Senior Data Scientist to support the Key Measures Model (KMM) engine and its downstream products (e.g., KMOR). This role focuses on advanced analytics and analytical solution development to drive provider engagement and quality performance.
You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
KMM Capability Development
- Design and implement prioritization logic, measure enhancements, and next best action (NBA) improvements
- Translate analytical models and business logic into scalable production solutions
Advanced Analytics & Modeling
- Develop, validate, and optimize analytical frameworks and scoring methodologies
- Conduct exploratory analysis, feature development, and model performance evaluation
- Apply innovative analytical techniques to improve provider engagement and quality outcomes
End-to-End Delivery
- Own full development lifecycle: problem definition - analysis - model development - validation - implementation support - monitoring
Cross-Functional Collaboration
- Partner with data, analytics, BI and business stakeholders to deliver scalable, high-impact solutions
- Translate complex analytical findings into actionable business recommendations
- Align solutions with enterprise data strategy and downstream use cases
Innovation & Continuous Improvement
- Drive continuous improvement of KMM products and analytics capabilities
- Identify opportunities to enhance methodologies, prioritization approaches, and performance measurement
- Integrate new data sources, analytical techniques, and emerging technologies
- Promote analytical best practices, standardization, and knowledge sharing
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:
- 3+ years of professional experience developing analytical solutions using techniques such as machine learning, text mining/analysis, simulations, hypothesis testing, etc.
- 3+ years of professional experience with SQL, Python, PySpark and large-scale cloud-based data platforms (e.g., Snowflake, Databricks)
- 1+ years of experience leveraging AI/ML tools and technologies to drive workflow automation, accelerate development, and enhance analytical capabilities
- Demonstrated ability to translate analytical logic into scalable, production-ready solutions
- Demonstrated problem-solving skills and ability to collaborate effectively across cross-functional teams
Preferred Qualifications:
- Experience with Medicare Advantage Products or the healthcare industry
- Experience building and supporting analytical products and measurement frameworks in business environments
- Solid relationship-building skills with internal stakeholders and operational teams to drive alignment and outcomes
- Solid communication skills, with the ability to present program objectives, methodologies, analytical findings, and performance to diverse audiences
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Skills Required
- 3+ years of professional experience developing analytical solutions using machine learning, text mining or analysis, simulations, hypothesis testing, or similar techniques.
- 3+ years of professional experience with SQL, Python, PySpark, and large-scale cloud-based data platforms such as Snowflake or Databricks.
- 1+ years of experience leveraging AI/ML tools and technologies for workflow automation, development acceleration, or enhanced analytical capabilities.
- Ability to translate analytical logic into scalable, production-ready solutions.
- Strong problem-solving skills and ability to collaborate effectively across cross-functional teams.
- Experience with Medicare Advantage products or the healthcare industry.
- Experience building and supporting analytical products and measurement frameworks in business environments.
- Relationship-building skills with internal stakeholders and operational teams.
- Communication skills for presenting program objectives, methodologies, analytical findings, and performance to diverse audiences.
Optum Compensation & Benefits Highlights
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Parental & Family Support — Paid parental leave (six weeks), paid caregiver leave (up to two weeks), Bright Horizons back-up care, and adoption assistance up to $10,000 are prominently included. Feedback suggests these family supports meaningfully aid work-life balance and are often highlighted as strengths.
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Retirement Support — A 401(k) with company match is available to all employees, including part-time staff, alongside other financial protections like disability and life insurance. Feedback suggests broad access and matching make retirement support a core pillar of the package.
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Equity Value & Accessibility — An Employee Stock Purchase Plan offers discounted company stock, with some roles also eligible for sign-on or performance bonuses. Feedback suggests the ESPP is a standout financial perk that helps employees build ownership over time.
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The Company
What We Do
Optum, part of the UnitedHealth Group family of businesses, is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Optum Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.
Typical time on-site:
Not Specified
