Job Description

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.Primary Responsibilities:

• Managing a team, providing clear direction on goals and objectives following agile standards and practices
• Collaborate with the team on application architecture design and decision-making
• Contribute to development team and help to achieve key business objectives
• Contribute to large, complex projects to achieve key business objectives
• Constantly look at Performance and Security aspects and propose architectural solution for security vulnerabilities
• Continuously evaluating team workload and capacity and providing timely information concerning throughput and resource needs
• Serve as a Technical lead and provide technology or Engineering leadership to the team
• Present and evaluate design solutions objectively and facilitate conflict resolution
• Participate in Scrum meeting, design reviews, test case reviews, and production support readiness reviews for new releases, provide inputs for go/no go decision
• Mentor and guide them whenever required
• Build, maintain and strengthen relationship with stakeholders
• Be able to understand the Facets Delivery, Client priority and requirements
• Be able to translate the business requirements or functional design to job design
• Be able to work on EDI transactions such as 837 and 835
• Be able to contribute to DevOps, CI or CD and other engineering forums
• Collaborate with QA or UAT team members
• Participate in Test Case reviews, and Production Support for incidents, including on-call support
• Develops innovative approaches on performance optimization and 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
• Participates in analysis and strives to meet common KPIs and goals
• 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:

• 13+ years of overall IT experience
• 6+ years of Engineering Manager or Technical Manager or Solution Architect or PO background Experience on SDLC Methodologies
• Good end to end claim, Provider, Membership, Finance lifecycle understanding
• Familiar with Github tools
• Good understanding of Medicaid or Medicare line of business
• Good understanding of Health plan set up
• Good knowledge on US Healthcare Industry
• Proven skilled with MS Office Suite, Visio, MS Project, and SharePoint
• Proven good in adapting and adopting new technology footprints to optimize business solutions.
• Proven comfortable in executing basic SQL queries and stored procedures
• Proven good communications skills

Preferred Qualifications:

• TriZetto Facets Application experience
• Knowledge of Kafka-streaming
• Good understanding about the structure and significance of key or HIPAA X12 EDI transactions like 837, 277CA, 835, etc.
• Understanding of Service Now and Production support processes

Domain Specific Requirements:

• Claims:

• Good understanding of Claims domain in Facets which includes Data Model, Core Claims processing batch jobs, Facets UI, Facets Workflow tool
• Knowledge of NetworX pricer
• Good understanding around Claims pricing, errors, edits, adjustments and payments

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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 xe2x80x94 an enterprise priority reflected in our mission.#LetsGrow

UnitedHealth Group