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Job Details

Data Programmer - Telecommute

Company name
UnitedHealth Group

Albuquerque, NM

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If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work. (sm)

Program and Network Integrity (PNI) is responsible for anti-fraud, waste, abuse and error (FWAE) services provided to our membership.  This specialized team consists of a variety of individuals with roles and responsibilities to detect investigate and prevent FWAE from occurring.  PNI encompasses Special Investigations Unit (SIU) activities as well as expanded efforts to improve the system and function of the organization.  

Job Scope and Guidelines:

Designing, developing, testing and maintaining databases and, applications and reports

Works closely with others on tasks and projects

Maintains various data connections and queries to support business needs

Core hours are 8 AM-5 PM Central Time

Primary Responsibilities:

Design, Conduct, Support Research & Development

Partners with internal and external teams to complete tasks and projects

Works independently and collaboratively on projects to meet timelines and deliverables

Provides guidance and support to others as it relates to PNI data subject matter

Demonstrates understanding of reporting databases and software packages

Receives relevant data information from internal and external sources for analysis and data analytical needs

Analyze and Interpret Data

Demonstrates proficient understanding and use of software packages (SQL, MS SSRS, MS SSIS .NET, Tableau, Visual Studio, Excel)

Collaborates with internal and/or external stakeholders to design or redesign requirements as needed

Interprets data and reports, summarizes and presents findings / recommendations to Leadership and/or Customers as necessary

Communicates impact of metrics and provides appropriate support to operations on resolution, including claims financial detail

Experience with continuous integration methodology

Identifies and Develops Business Tools for Improved Performance

Understanding of agile development methodologies

Collaborates with team in software as a service (SAS) development environment

Analyzes data to determine appropriate next steps

Identifies process improvements and user tools to improve performance and production

Creates innovative solutions to problems through technology and web design

Provides ongoing support for applications, reporting and analytics

Maintains industry expertise and proposes enhancements to technology and tools within department

Identify, Create and Implement Process and Reporting Improvements and Efficiencies

Understanding existing queries for data

Working with team to satisfy new data needs as they arise

Work closely with internal and external teams to develop target queries to detect potential FWAE across broad spectrum of behavioral health data sets

Act as a resource to identify schemes within data sets and identify claims configuration / set up issues utilizing data analytics

Act as a subject matter expert for data platforms / connections

Required Qualifications:

Bachelor’s degree or equivalent experience

4 years of experience with each: SQL, MS SSRS, and MS SSIS

2 years of experience with .NET, Visual Studio

Proficient with MS Office including:  Access, Excel, Visio, PowerPoint and SharePoint

4 years of experience in developing analytical tools and models, programming database queries, conducting data analysis, and creating reports

Preferred Qualifications:

Tableau experience

Experience with Oracle, Sybase databases

Health care data / information

Understanding of statistics to include sampling and extrapolation methodologies and use in investigations and leveraging for negotiations and resolutions

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)

*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 Programmer, Telecommute, Remote, Work from Home

Job Requirements

Company info

UnitedHealth Group
Website :

Company Profile
About UnitedHealth Group UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone. We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term

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