Job Description

Description - External
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:

• Demonstrated experience with Healthcare Eligibility/Prior Auth/Referral/Claims domain.5+ years of experience in collaborating with Business/Product Managers to understand business needs to aligning architecture/solution options with business needs. Gracefully transition solution leadership to the Product/Delivery team, once the solution is clearly understood, documented and under development while remaining engaged through solution delivery. Preferred in implementing modern architecture patterns - Microservices, Event Driven Messaging, Public Coud, Gen AI, AI/ML and NoSQL Technologies

Design and define system architecture for enterprise-level applications and infrastructure
Collaborate with stakeholders to understand business requirements and translate them into technical solutions

• Review and analyze existing IT systems and architecture
• Gather requirements from stakeholders
• Design and recommend technology solutions
• Develop architectural diagrams and documentation
• Ensure systems are scalable, secure, and efficient
• Collaborating with IT teams and business units
• Stay updated on industry trends and best practices
• 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 regard 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 in computer science, Information Technology, or related field
• Experience with system architecture and design
• Knowledge of EDI X12 preferably in healthcare transactions
• Knowledge of cloud services, networks, and security
• Proven solid problem-solving skills
• Proven good communication skills

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.

Skills Required