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 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.
Primary Responsibilities:
- Be able to understand Facets Delivery, client priorities, and business requirements
- Applies knowledge of engineering principles and techniques to solve technical problems effectively
- Be able to translate business requirements and functional design into detailed job/technical design
- Contribute to DevOps, CI/CD, and engineering forums, promoting automation and quality practices
- Design and develop UI solutions using C#.NET and AngularJS
- Utilize AI Builder / Generative AI to automate workflows, enhance data processing, improve decision making, and optimize engineering productivity
- Design, build, and deploy AI programs and intelligent components, including classification models, prediction models, natural-language workflows, and document processing solutions
- Leverage AI models for document extraction, anomaly identification, exception detection, predictive insights, and operational optimization
- Demonstrates solid organizational skills with high attention to accuracy and detail
- Actively engaged as a Scrum team member in all Agile rituals and development processes
- Reviews, analyzes, develops/modifies, and completes stories within the Definition of Done, delivering on time and within estimates
- End-to-end deliverables including design, coding, unit/integration testing, automation, and deployment
- Be able to understand existing designs, make informed technology choices, and adjust architectural components when required
- Participates in peer reviews to ensure design and code quality
- Develops innovative approaches for performance optimization and automation, leveraging both traditional and AI based methods
- Delivers solutions that are free of significant security vulnerabilities
- Ensures ticket closure within SLA and adherence to compliance guidelines
- Contributes to outage retrospectives and documentation
- Participates in requirement gathering, production support, and incident triage
- Participates in on call rotation, as needed
- Provides timely updates on tasks and blockers
- Ensures adherence to defined SLA compliance and operational processes
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
- Bachelor's degree or equivalent experience
- 8+ years overall IT experience
- 5+ years of experience in Facets Claims domain
- 5+ years of development and testing experience in C# / .NET programming
- 5+ years of Database Design / Programming
- 2+ years of Agile delivery experience
- Hands-on experience with AI for building AI models, document processing, predictions, and workflow automation
- Hands-on experience working on EDI transactions (837, 835)
- Experience in designing and deploying AI based programs, including classification, extraction, and predictive models
- Good knowledge of the US Healthcare industry
- Proven solid ability to adapt and adopt new technology footprints, including AI driven platforms, to optimize business solutions
- Proven self-motivated and capable of working independently and in a team environment
