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 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:

• Analyzes business needs, documents requirements and translates needs into functional, non-functional and/or technical specifications
• Delivers requirements, performs analysis, and evaluates downstream business, systems, process, and/or organizational impacts
• Plans and assists with oversight of testing processes and activities including defect identification and resolution
• Analyzes charts and/or diagrams of the problem to be programmed and defines system requirements in terms of system capabilities
• Assists in the development of project cost and benefit estimates to establish project worth including the development of alternative considerations. This will result in recommendations for the installation of new systems or equipment, or to change existing systems and equipment
• Analyze business requirements to develop database solutions for Health Care and Reporting systems Able to conduct Scrum ceremonies
• Walk-through the technical design document with Business/SME/QA group and support team
• Checks, instructs, assigns work, and otherwise functionally directs technical staff in order to achieve desired end-results on complex problems
• Provides subject matter expert and operational support to internal business partners
• Performs all other related duties as assigned
• 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:

• Graduate degree or equivalent experience
• Educational Qualifications: B.E / MCA / B.Tech / MTECH /MS Graduation
• Functional Knowledge of UMR end to end claim processing. Able to review the paid and pend claims and need to figure out how claim is getting processed
• Knowledge on traversing thru different transactions to find out the eligibility, benefit configuration of UMR
• Knowledge on clinical system of UMR
• Good understanding on Healthcare Domain
• Solid understanding of software engineering processes: Design patterns, algorithms, data structures, schemas and queries, system design, unit testing, code reviews, agile and dev-ops

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.