Optum 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 advantages 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.

Work area includes development of clinical deterministic/probabilistic rules to identify aberrant billing/Fraudulent patterns in healthcare institutional claims data for UHC all Line of businesses.

Role requires development and evaluation of various clinical deterministic & probabilistic rules, data-maps through domain expertise and advanced data mining techniques, identify improvement opportunities resulting in business impact,



creating different metrics for clinical rules and innovation or optimization algorithms and building solid relationships with global analytics teams.

Role also requires significant amount of team and stakeholder management, project delivery, Quality assurance skills in areas like, clinical rule development, validation and data maps development, Rules maintenance, validation and enhancements, exploratory data, and multivariate analysis, improving true positive rate of existing analytics

Shift: A2 (11:00 AM to 8:30 PM IST)

Grade: 27 (Senior Data Analyst)

Location: Noida

Primary Responsibilities

• Communicating key analytic findings to client and responsible for addressing client's analytic concerns
• Communicate clearly and effectively both orally and in writing; conduct meetings and make professional presentations
• Organize and manage time and resources; establish priorities and coordinate work on many projects simultaneously
• Research potential overpayment s

📌 Senior Data Analyst (Noida)
🏢 Optum India
📍 Noida