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 the Facets Delivery, Client priority and requirements
• Applies knowledge of principles and techniques to solve technical problems
• Be able to translate the business requirements or functional design to job design
• Be able to design, develop solutions for inbound and outbound file functionalities using PL or SQL or Oracle or PERL
• 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
• Be able to design and develop UI solutions using Angular
• Be able to design and develop back-end APIs using C#
• Be able to lead small teams of developers and QA
• Collaborate with QA or UAT team members
• Participate in Test Case reviews, and Production Support for incidents
• 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
• Works with less structured, more complex issues
• Serves as a resource to others
• 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:

• 8+ years of overall IT experience
• 5+ 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
• Good understanding of Medicaid or Medicare line of business
• Good understanding of Health plan set up
• Good knowledge on US Healthcare Industry
• Familiar with Github tools
• Skilled with MS Office Suite, Visio, MS Project, and SharePoint
• Proven comfortable in executing basic SQL queries
• Proven good communications skills
• Proven good in adapting and adopting new technology footprints to optimize business solutions.

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 & Production support processes

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 & payments

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.