Role Description We are looking for a Healthcare Data Scientist to join our team! In this role, you will help expand our analytics capabilities and turn complex healthcare data into insights that improve care for underserved populations. You’ll partner closely with clinical, operational, and technology teams to help guide data-driven decisions that strengthen patient outcomes and support value-based care. As the Healthcare Data Scientist , you will play a pivotal role in helping Diverge Health better understand patient populations, improve care delivery, and measure the impact of our programs. You’ll work across diverse healthcare datasets and collaborate with internal teams to translate data into meaningful action. - Analyze healthcare datasets—including claims, electronic health records, and health information exchange data—to identify opportunities to improve patient care and outcomes. - Develop models and analytical approaches to support population health initiatives such as risk stratification, quality improvement, and market analysis. - Design and deliver dashboards, reports, and data visualizations that translate complex findings into clear, actionable insights. - Partner with clinical, operational, and leadership teams to define analytics needs and guide data-informed decisions. - Build and maintain data models and analytical workflows using tools such as Snowflake, DBT, and modern cloud data platforms. - Apply statistical methods and advanced SQL techniques to investigate trends, evaluate programs, and inform strategy. - Explore and integrate new data sources—including population, census, and operational data—to deepen understanding of patient needs. - Contribute to the evolution of our analytics infrastructure and machine learning capabilities using cloud-based tools and notebooks. - Stay current with emerging AI technologies and contribute to strategic roadmap planning. Qualifications - 3–8 years of experience in healthcare data science, analytics, or related field. - Strong experience working with medical claims data, including familiarity with healthcare billing, reimbursement, and coding structures. - Advanced proficiency in SQL, statistical analysis, and healthcare data modeling. - Experience building dashboards and reports using BI tools such as Sigma, Salesforce reporting, or similar platforms. - Familiarity with modern data infrastructure and cloud platforms (e.g., Snowflake, AWS, DBT, or comparable technologies). - Experience with AI/ML workflows, Jupyter notebooks, or SageMaker. - Ability to clearly communicate analytical insights to both technical and non-technical audiences. - Demonstrated curiosity and ability to learn new tools and technologies quickly. - Familiarity with LLMs and prompt engineering for real-world applications. Requirements - Experience analyzing healthcare quality metrics such as HEDIS or STARS. - Experience building or automating data and machine learning pipelines. - Broad experience across analytics infrastructure, visualization, statistics, and data engineering in healthcare environments. Personal Characteristics - An empathetic, humble, and highly conscientious teammate who inspires and motivates others. - Strength in authentically connecting with people from all walks of life. - Curious, open to learning and growth in all dimensions. - Superpowers in communication and attention to detail. - A strong representative of the company’s mission, vision, and values. Benefits This is a full-time, exempt, salaried position. Commensurate on candidate experience, the expected base salary range for this role is $125,000-$150,000. At this time, we are unable to support hiring in Alaska and Hawaii due to our primary operations being based in the Eastern and Central time zones. Special Considerations Diverge Health is dedicated to the principles of Diversity, Equity and Inclusion and Equal Employment Opportunities for all employees and applicants for employment. We do not discriminate on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, reproductive health decisions, family responsibilities or any other characteristic protected by the federal, state or local laws. Our decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance and business needs.

• Someone who takes personal responsibility for the squad's results and does not accept 'that's not my problem'. • Technical Proficiency (Hard Skills): • Strong experience with Python/PySpark. • Experience with cloud platforms (AWS or Azure). • Proficiency in recommendation algorithms (Collaborative Filtering, Content-based, Reinforcement Learning for personalization). • Ability to work with real-time models and large volumes of data. • Model validation metrics. • Knowledge of machine learning, statistics, and predictive modeling. • Business understanding, with a focus on impact and data-driven decision making. • Simplicity and Scalability: Focus on building solutions that are simple to maintain and easy to scale across the company. • Long-Term Vision: Someone who will not take ethical or technical shortcuts that create unmanageable debt in the future. • Nice to Have: • Experience with large-scale experimentation and A/B testing. • Cross-functional collaboration: Prior experience partnering with Machine Learning Engineers (MLE) to deploy models. • Familiarity with Multi-armed Bandits. • Data Storytelling: Ability to translate complex technical metrics into business insights for Brand and Product stakeholders. • Cost Awareness: Mindset for optimizing cloud processing costs (managing resources with discipline).

• Lead, mentor, and manage a team of data scientists — setting expectations, giving feedback, and building people up. • Own execution quality for data science delivery, ensuring research translates into production-ready, well-documented systems. • Partner with Product to define research priorities and with Engineering to ensure models integrate cleanly into production. • Step into complex modeling and research efforts yourself when senior technical judgment and experience are required. • Build and improve the team’s processes — including experimentation standards, methodology reviews, documentation practices, and model handoff workflows.

Requisition Number: 2310945 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position provides interpretation, execution, and report efficiencies and cost management of HEDIS Retrospective data for submission reporting of primary measures data as an effort to deliver a 4+ HEDIS/Star Performance rating with our Health Plans. Position works to conduct and manage outcomes of advanced analysis, reviews, forecasting, trending, and presents information to Business on system and data source capabilities for operational planning. Additionally, position produces innovative solutions driven by advanced analytics to provide predictive and prescriptive analytics to the enterprise, to ensure minimal risk to HEDIS/Star ratings and the Enterprise as a whole, reporting all impacts directly to VP. 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: - Responsible for managing/interpreting advanced analytics, including basic knowledge of understanding SQL queries and presenting findings to communicate strategic technical solutions to Executive Leadership on efforts that impact the bottom line - Manage multi-functional Teams of managers, developers and analysts to support and collaborate with WellMed business stakeholders - Supporting team with data verification, identifying and implementation of quality methods and standards of system procedures used to support department deliverables - Practicing conflict resolutions and presenting solutions to leadership to support with unique and complex problems that directly impact the business - Developing an audit process to measure quality assurance and ensure data integrity, conformity and accessibility, on performed deliverables conducted within department - Manages HEDIS/Star technical team on completion of initial audit documents, issues of sampling methodology, data collection strategies, and HEDIS measure interpretation - Analyzes and trends HEDIS rates, identifies barriers to improve rates and collaborates with cross-functional teams to resolve barriers - Provides leadership, analysis and technical guidance for implementation of HEDIS/Star Specifications - Stays current on all CMS, NCQA, and HEDIS/Star communications to align WellMed data submissions strategies to minimize risk to data submissions, audits, and overall scores - Takes an active role in mentoring, and team performance management process by completing goal setting, mid-year review, and year-end review on a timely basis and soliciting ongoing feedback and professional development with team - Develop strong relationships across the enterprise with staff members and stakeholders to strengthen the department - Act as a liaison for the leadership management team, provide updates and status reports on all NCQA HEDIS Quality Measures - Collaborate with internal and external business partners to gain understanding of their business needs - Performs all other related duties as assigned 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 managerial experience and/or experience leading a technical team - 4+ years of experience working with Inter-Departmental teams - 4+years of experience supporting Executive Management with department budgeting and Strategic Planning - 1+ years of CMS Star and NCQA HEDIS knowledge - Basic understanding of SQL Server (Version 2005 or Higher) - Excellent analytical and problem-solving abilities Preferred Qualifications: - Health care industry experience - In-depth knowledge of HEDIS/Star regulatory requirements - Solid understanding of SQL and Informatics/ETL experience - Ability to lead change and achieve support for change; builds consensus - Solid verbal and written communication skills, with the ability to interface effectively with all levels of staff, including internalexternal customers and senior management teams Physical & Mental Requirements: - Ability to lift up to 10 pounds - Ability to push or pull heavy objects using up to 10 pounds of force - Ability to sit for extended periods of time - Ability to stand for extended periods of time - Ability to use fine motor skills to operate office equipment and/or machinery *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 $110,200 to $188,800 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.