Job Description

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Primary Responsibilities:

• Be able to understand HLD& LLD documents
• Be able to translate the business requirements/functional design to job design
• Be able to design, develop solutions for inbound and outbound file functionalities using PL/SQL/Oracle/PERL
• Be able to work on EDI transactions 837 and 835
• Be able to design, develop UI solutions for using C#.NET/ Java/ Angular JS
• Be able to lead a team of 5-10 developers
• Applies knowledge of principles and techniques to solve technical problems
• Specification and management of coding, usability and quality standards
• Participate in Test Case reviews, and Production Support for incidents
• Develops innovative approaches on performance optimization & automation
• Provide timely updates on tasks to reporting supervisor
• Adherence to the defined SLA Compliance etc.
• Develop and maintain standards, common processes and best practices as per Industry standards
• Manages and is accountable for professional employees and/or supervisors
• Impact of work is most often at the team level
• 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:

• Undergraduate degree or equivalent experience
• 8+ years of overall IT experience
• 6+ years of experience in FACETS applications - Claims processing Applications or 6+ years of experience in FACETS applications - Finance/billing processing Applications
• 2+ years of Project Lead/Technical Lead / Solution Architect / System Analyst background OR 6+ years of relevant development background with inclination of taking Technical Lead role
• Experience on Agile Methodologies
• Experience in Agile scrum model
• Good end to end claim lifecycle understanding
• Good understanding about the structure and significance of key /HIPAA X12 EDI transactions like 837, 277CA, 835, etc.
• Good understanding of Claims domain in Facets which includes Data Model, Core Claims processing batch jobs, Facets UI, Facets Workflow tool
• Good understanding around Claims pricing, errors, edits, adjustments & payments
• Good understanding of Medicaid / Medicare line of business
• Good understanding of Health plan set up
• Familiar with Subversion tools
• Skilled with MS Office Suite, Visio, MS Project, and SharePoint
• Good in adapting & adopting new technology footprints to optimize business solutions

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)