Jobs at Optum

Supports medical expense business systems by gathering requirements, analyzing data workflows, documenting processes, defining test scenarios, validating system and reporting changes, resolving issues, and coordinating across finance, accounting, actuarial, technology, and operations teams. The role also supports data quality, controls, audit readiness, process improvement, implementation readiness, and stakeholder communication.

Leads Adobe Experience Platform and digital analytics implementation, including Adobe Launch tagging, XDM schemas, data ingestion, governance, CJA workspaces, and Adobe Analytics and Target integrations. Manages analytics teams, stakeholder strategy, data audits, funnel and campaign analysis, data quality, anomaly detection, testing, and AI-driven optimization. Evaluates emerging tools, leads proof-of-concept initiatives, and translates complex technical findings into actionable business insights.

Provides compassionate bilingual customer support to members and providers by resolving billing, claims, benefits, and plan inquiries. Documents interactions, researches issues across multiple systems, guides users through websites, and supports AARP membership renewals and cancellations. Requires strong communication, problem-solving, computer navigation, and flexibility for rotating schedules.

Lead the architecture, administration, optimization, and operational management of enterprise Oracle and Snowflake data warehouses. Manage Exadata, ODA, RAC, and Data Guard environments; tune database performance and infrastructure resources; and ensure high availability and disaster recovery. Develop AI-powered solutions, automated workflows, diagnostic tools, and self-healing runbooks using Python, Bash, and Azure OpenAI. Collaborate with engineering, infrastructure, networking, storage, and data integration teams.

Architects enterprise-scale Java applications using Spring, microservices, event-driven patterns, hybrid cloud, and Azure. Leads modernization initiatives incorporating AI/ML and Generative AI, establishes architectural standards, mentors development teams, evaluates engineering technologies, and facilitates technical decisions across engineering, product, infrastructure, security, testing, database, support, and operations stakeholders.

Early-career analyst in Optum Insight’s Consultant Development Program supporting healthcare content strategy. Responsibilities include writing, editing, and repurposing research; translating complex healthcare topics; developing presentations; analyzing audience and content-performance data; preparing content for AI-enabled products; and collaborating with research, editorial, marketing, design, and digital teams. The role requires managing multiple assignments, participating in client or research calls, applying AI tools responsibly, and working hybrid in one of three locations.

Leads health policy research and analytics using claims, clinical, administrative, and public datasets. Manages university research partnerships from study design through publication, oversees governance and data strategy, performs statistical analysis, mentors analysts, and advises senior leaders on research opportunities and policy, business, and reputational impacts. Partners with communications and government affairs teams to disseminate findings to policymakers and external stakeholders.

Lead enterprise attack surface management across multi-cloud and on-premises environments. Discover and assess digital assets, identify vulnerabilities and misconfigurations, correlate exposure data with threats, and prioritize remediation. Build automated discovery and notification workflows, use approved AI tools, collaborate with engineering and security teams, ensure operational quality, mentor analysts, maintain playbooks, and support vendor relationships.

Supports Sales and internal teams throughout the Enterprise Imaging commercial lifecycle. Resolves invoicing questions, billing discrepancies, disputes, credits, adjustments, and rebills; coordinates with customers, Accounts Receivable, Contract Operations, and Sales Operations. Maintains billing documentation, ensures alignment with contracts and financial policies, participates in customer calls, identifies recurring issues, and recommends process improvements. The role is hybrid in Richmond, British Columbia, with four in-office days weekly.

Leads the architecture, development, deployment, and monitoring of enterprise machine learning and AI solutions. Builds MLOps platforms and pipelines, evaluates emerging AI technologies, establishes CI/CD and responsible AI practices, and collaborates with software engineering, data science, and product teams. Provides technical leadership and mentorship while delivering scalable, reliable production models across the healthcare enterprise.

Serve as a subject matter expert for PBM data analytics, using advanced SQL and large healthcare datasets to develop dashboards, business insights, and scalable BI solutions. Partner with stakeholders and Engineering/IT on workflows, ETL/ELT, UAT, training, data governance, security, and documentation. Resolve complex analytical issues, support self-service analytics, and mentor junior analysts.

Supports sales and client enablement for Coding Intelligence solutions and the Optum Coding Intelligence Platform. Develops training, onboarding, education, playbooks, job aids, and product documentation for sales teams and customers. Facilitates virtual and in-person sessions, supports platform migrations, adoption, retention, and change initiatives, and serves as a subject matter expert. Partners with Product, Marketing, Customer Success, Operations, Sales, and Account Management to communicate product capabilities and improve readiness.

Leads consulting engagements for healthcare payer clients, advising on payer system implementations, migrations, modernization, and optimization. Translates business objectives into delivery plans, facilitates requirements and solutioning workshops, manages project governance and budgets, and aligns executives, operational stakeholders, and technology teams. Develops recommendations, supports transformation initiatives, contributes to practice innovation, and mentors others. Requires payer operations expertise, client-facing consulting experience, agile project leadership, and familiarity with core administration platforms.

Lead the development and productionization of AI/ML, Generative AI, and Agentic AI solutions for digital analytics and experience optimization. Design RAG, LLM, intelligent automation, and customer journey analytics capabilities; integrate Adobe Analytics technologies; and provide hands-on architecture and engineering leadership. Partner with product, analytics, data engineering, UX, marketing, and technology teams while establishing secure, governed MLOps, monitoring, evaluation, and deployment practices.

Leads a multidisciplinary engineering organization delivering state government healthcare data solutions. Responsibilities include architecting Snowflake-based enterprise data warehouses and pipelines, developing agentic AI and automation capabilities, overseeing Medicare and Medicaid data processing, ensuring T-MSIS and MARS compliance, and establishing data governance, security, quality, and reporting frameworks. The role also requires people management, technical strategy, stakeholder collaboration, and engineering transformation leadership.

Supports Medicare Advantage market finance through FP&A, competitive intelligence, enrollment and market analysis, benefit planning, financial projections, and executive reporting. Partners with finance, product, actuarial, sales, and market leadership teams to inform growth and profitability strategies. The role also identifies process improvements, develops analytical tools, and completes ad hoc management analyses.

Processes stop payments, ACH and bill-pay transactions, account transfers, closures, and escalation requests. Researches money movement and HSA tax implications, follows banking regulations and procedures, documents processes, supports financial transaction projects, and drives improvements. Monitors and assigns team work, performs quality assurance, and prioritizes requests according to turnaround times. The role is onsite, full-time, and may require overtime or weekend work during peak enrollment periods.

Leads financial planning, forecasting, budgeting, cost management, profitability analysis, and executive reporting for assigned healthcare business units. Partners with senior leaders on strategic decisions, resource allocation, investments, and operational performance. Oversees financial models, cost allocation methodologies, controls, audits, and process improvements while managing and developing finance team members and influencing cross-functional initiatives.

Develop secure cloud software and production AI solutions using Python, LLMs, LangGraph, RAG, embeddings, vector search, and machine learning models. Build agentic workflows, evaluation and monitoring systems, MLOps automation, and responsible AI controls. Collaborate with partner teams to implement enterprise security, data governance, and compliant platform operations.

Early-career analyst supporting healthcare consulting engagements through client service, research, literature reviews, interviews, market and organizational intelligence synthesis, and strategic outreach. The role involves tailoring research and expert support to client needs, communicating findings, and applying AI tools to improve analysis, reporting, automation, and workflows. Participants work hybrid in Eden Prairie, Nashville, or Washington, DC, with mentorship and training through the Consultant Development Program.