Lead AI/ML data science projects for payment integrity, from stakeholder requirements through production deployment. Develop, evaluate, monitor, and refine machine learning models that detect payment issues and prioritize clinical audit inventories. Collaborate with engineering, infrastructure, operations, and business teams; communicate methodologies and insights to technical and non-technical audiences; and ensure compliance with ethical, legal, regulatory, and organizational standards.
Requisition Number: 2382373
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
As part of Optum's Payment Integrity Decision Intelligence team, the Senior Data Scientist will support our mission to drive medical cost savings and efficiency within Payment Integrity clinical operations using advanced AI/ML tooling to drive detection and inventory prioritization. You will apply knowledge of statistics, machine learning, programming, data modeling to recognize patterns, identify opportunities that improve clinical audit processes.
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:
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.
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
As part of Optum's Payment Integrity Decision Intelligence team, the Senior Data Scientist will support our mission to drive medical cost savings and efficiency within Payment Integrity clinical operations using advanced AI/ML tooling to drive detection and inventory prioritization. You will apply knowledge of statistics, machine learning, programming, data modeling to recognize patterns, identify opportunities that improve clinical audit processes.
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:
- Interact with business stakeholders to understand their AI/ML requirements and deliver projects aligned with the business portfolio
- Drive and manage high-impact data science projects from conception to deployment, ensuring alignment with business goals and timelines
- Partner with cross-functional teams, including analytic engineering, infrastructure, and operations, to design and deploy models
- Document and communicate findings, methodologies, and insights to technical and non-technical stakeholders
- Monitor and refine model performance through on-going evaluation, ensuring robust performance
- Maintain compliance with legal, ethical, regulatory, and organizational standards
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 experience in Data Science
- 2+ years of experience in traditional machine learning and statistical modelling
- 2+ years of experience in coding in Python, SQL, and related languages
- 1+ years of experience with big data technologies
- Demonstrated appreciation of ethical considerations in data science and commitment to apply them in practice
Preferred Qualifications:
- Experience with data processing in Spark
- Experience with Databricks / ADB
- Experience with healthcare claim data
- Experience in transitioning projects from proof-of-concept (PoC) to production, with a focus on scalability, reliability, and performance
- Demonstrated knowledge of the full life cycle of AI/ML projects, including EDA, model development, tuning, and drift analysis
*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.
Similar Jobs at Optum
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Provides strategic technical leadership for network defense, including network cartography, attack-surface assessment, containment strategy, segmentation, threat modeling, and security posture optimization. Partners with security operations, threat intelligence, and network engineering teams to protect hybrid and multi-cloud environments. Develops containment playbooks, validates security controls, analyzes telemetry and traffic patterns, and promotes security-by-design across enterprise infrastructure.
Top Skills:
AWSAzureBgpData LakesDnsGCPMicro-SegmentationNetwork Detection And Response (Nta/Ndr)Network Traffic AnalysisOciSIEMTcp/IpTlsZero Trust Networking
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Designs, deploys, and manages secure, scalable Azure infrastructure and analytics environments. Responsibilities include administering Azure storage, compute, Databricks, Data Factory, Power BI, identity, governance, monitoring, security, cost management, and CI/CD automation with Terraform. The role supports production cloud products, develops operational readiness practices, and responds to incidents. It collaborates with engineering and analytics teams to deliver reliable healthcare data platforms and requires extensive Azure, infrastructure operations, and analytics platform experience.
Top Skills:
Arm TemplatesAzure Active DirectoryAzure Application InsightsAzure Data FactoryAzure Data Lake Storage Gen2Azure DatabricksAzure DevopsAzure Key VaultAzure MonitorAzure Security CenterAzure Virtual MachinesEpicGitHadoopHipaaHitrustJenkinsLog AnalyticsAzureMicrosoft Entra IdOraclePower BIPowershellTerraformUnix/LinuxWindows
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Analyzes and documents finance and accounting business processes, requirements, use cases, and system gaps for new technical solutions. Conducts fact-finding with business leaders and process owners, identifies improvement opportunities, communicates recommendations, and evaluates financial and operational impacts. Supports project artifacts, system migrations, and process efficiency initiatives while managing competing priorities and delivery timelines.
Top Skills:
ExcelSQL
What you need to know about the Los Angeles Tech Scene
Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.
Key Facts About Los Angeles Tech
- Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
- Key Industries: Artificial intelligence, adtech, media, software, game development
- Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
- Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering
