Jobs at Optum

Provides remote customer service to healthcare providers and patients regarding prescription status, order delivery, reorders, and payment issues. Handles inbound and outbound calls, researches pharmacy benefit questions across multiple databases, documents customer information, and communicates compassionate solutions. Requires full-time schedule flexibility, potential overtime during peak season, computer proficiency, and completion of six weeks of paid training.

Develop and maintain credit risk models for application and behavioral scoring, default and loss forecasting, fraud detection, underwriting, collections, and early risk detection. Create features from alternative financial data, evaluate vendors, productionize models with engineering and product teams, and ensure compliance with fair lending standards. Monitor, validate, recalibrate, and back-test models while communicating insights to technical and non-technical stakeholders.

Supports Revenue Manager accounting operations across care delivery organizations. Responsibilities include financial validation, reconciliations, variance analysis, issue resolution, implementation testing, control documentation, reporting, dashboard development, process standardization, and continuous improvement. Partners with Accounting, Revenue Cycle, Operations, Technology, Finance, and implementation teams to resolve complex accounting and system issues, mitigate risks, and improve operational efficiency.

Lead site reliability engineering across system availability, performance, scalability, observability, incident response, automation, CI/CD, and cloud migrations. Architect OpenTelemetry-based monitoring solutions, improve MTTD and MTTR, develop infrastructure tooling, support on-premises-to-cloud migrations, and apply AI-driven operations. Collaborate with globally distributed engineering teams on performance testing, troubleshooting, postmortems, and continuous reliability improvements.

Leads the strategy, architecture, delivery, and operationalization of agentic AI solutions in enterprise healthcare environments. Manages engineering teams building LLM workflows, copilots, intelligent automation, and integrated AI platforms. Responsibilities include cloud architecture, secure deployment, AI evaluation, stakeholder alignment, delivery planning, technical governance, executive communication, and coaching engineering leaders. The role also drives scalable engineering practices and production-ready solutions across marketing technology deployments.

Leads complex security and technology initiatives from intake through closeout. Owns project plans, milestones, dependencies, risks, governance, communications, and delivery commitments. Partners with security, infrastructure, cloud, and application teams to coordinate execution, translate technical information for leadership, support decisions, and improve PMO delivery practices. The role is fully remote within the United States and supports enterprise security, resilience, risk reduction, stability, and regulatory readiness.

Leads strategic initiatives and cross-functional programs for the Puerto Rico Geo Leadership Office. Converts priorities into execution plans, governance, milestones, accountabilities, and measurable outcomes. Coordinates stakeholders, manages risks and dependencies, facilitates executive reviews, tracks decisions and commitments, develops dashboards, and drives implementation through transition and closeout. The role also supports readiness across people, processes, communications, training, technology, and controls while using Microsoft 365 and approved AI tools.

Leads a cross-functional Payment Integrity capability portfolio from opportunity identification through implementation, scaling, or closure. Defines business cases, KPIs, financial benefits, measurement plans, and executive scorecards. Partners with Operations, Finance, Analytics, Procurement, Technology, Product, and vendors to improve productivity, quality, turnaround time, automation, decision-making, and operational value. Influences senior stakeholders without direct authority and drives governance, replication, adoption, and sustained benefits.

Leads the architecture and development of scalable Big Data pipelines and agentic AI systems. Establishes technical vision, cloud and application security standards, and enterprise architecture practices. Drives secure, reliable, high-performance production platforms, evaluates emerging technologies, mentors engineers, collaborates cross-functionally, and owns complex initiatives from architecture through deployment and optimization.

Design, develop, test, deploy, and maintain scalable full-stack applications using Node.js, React, JavaScript, AWS Lambda, and MySQL RDS. Build serverless microservices, cloud solutions, REST APIs, and AI-powered features. Drive continuous integration, automated testing, code quality, and technical innovation while collaborating with cross-functional teams. Mentor engineers and contribute to architecture and process improvements for pharmacy services platforms.

Loads, analyzes, validates, and reports external healthcare data. Collaborates with developers, business teams, clients, and leadership to improve data quality, resolve issues, interpret requirements, identify trends, and communicate analytical findings and recommendations. Uses SQL, relational databases, reporting tools, spreadsheets, and AI assistants to support complex projects and payer-platform initiatives.

Designs and implements scalable cloud-native software architectures while modernizing legacy systems. Provides technical leadership on .NET and Angular development, microservices, containerization, design patterns, architectural reviews, and stakeholder alignment. Guides engineering teams on best practices, performance, reliability, and maintainability. Requires U.S. citizenship and eligibility for a Confidential, Secret, or Top Secret clearance.

Support product strategy, roadmap execution, backlog management, requirements definition, prioritization, UAT, release readiness, and adoption planning for workforce and financial planning solutions. Coordinate engineering, finance, operations, analytics, and leadership stakeholders while translating complex requirements into product artifacts. Monitor usage, feedback, risks, dependencies, and data quality to guide enhancements, platform transitions, and enterprise product delivery.

Leads enterprise systems management, configuration governance, incident response, monitoring, logging, alerting, and modernization initiatives. Designs and validates complex configuration changes, identifies systemic issues, establishes operational standards, mentors analysts, and collaborates with Product, Engineering, Architecture, and Operations teams. Requires extensive systems analysis or enterprise operations experience, SQL and data analysis skills, AI or automation experience, U.S. citizenship, and eligibility for a security clearance.

Build and maintain data conversion jobs that cleanse, transform, validate, and load data into a policy management system. Extract and merge data across sources, resolve anomalies with business stakeholders, document mapping and transformation processes, develop code and test cases, and present conversion results to client teams.

Manages enterprise social media execution across owned channels, including content calendars, platform-specific copywriting, publishing, paid social support, audience engagement monitoring, and performance reporting. Coordinates with design, agency, insights, compliance, and subject matter experts to develop and optimize content. Tracks KPIs, identifies trends, supports leadership reporting, and stays current on social platform updates and best practices.

Develop and execute patient-facing and internal marketing materials, communications, campaigns, and provider transition initiatives across Optum Medical Care’s NY/NJ market. Collaborate with physicians, practice managers, operations, and leadership; manage provider assets, legal reviews, project timelines, presentations, and stakeholder communications. Use project-management, automation, and AI tools to improve workflows, track delivery, and measure results.

Develops and manages strategic public-sector, labor, and trust healthcare accounts. Responsibilities include acquiring new business, expanding and retaining existing accounts, improving profitability, managing renewals and negotiations, coordinating customer service, leading RFPs and finalist presentations, building executive-level client relationships, and providing market feedback. Requires healthcare sales and complex account-management experience, insurance licensing, knowledge of managed-care products, sales-data analysis, public-sector procurement expertise, and travel up to 50%.

Leads strategic execution and enterprise program management for National Performance leadership. Partners with executives, manages governance and operating cadences, translates decisions into accountable action plans, coordinates cross-functional initiatives, and drives performance improvement. Responsibilities include risk and dependency management, regulatory alignment, performance reviews, organizational effectiveness, and stakeholder consensus across a complex national healthcare organization.

Designs and maintains infrastructure automation, monitoring, databases, messaging clusters, container platforms, and CI/CD workflows. Manages Chef cookbooks, RabbitMQ, InfluxDB, MySQL, Grafana, Nomad, and telemetry services while optimizing performance, capacity, reliability, and availability. Develops Ruby-based telemetry applications, builds dashboards and alerts, and participates in on-call incident response. The role requires five years of progressive post-baccalaureate experience and supports U.S.-based telecommuting.