Jobs at Optum

Leads advanced data science and machine learning initiatives to discover healthcare affordability and payment integrity opportunities. Develops anomaly detection, clustering, graph analytics, explainable AI, generative AI, and evidence-generation methods using large-scale healthcare data. Partners with product, engineering, analytics, and domain stakeholders to translate patterns into actionable hypotheses, operationalize analytical assets, and improve model validation. Provides technical leadership, establishes analytical standards, mentors data scientists, and guides ambiguous initiatives from problem definition through delivery.

Provides technical leadership for a portfolio of modernized enterprise applications. Establishes architecture and engineering standards, guides design and implementation, manages technical risks and dependencies, improves testing and delivery practices, and supports production readiness. The role partners with product, architecture, security, infrastructure, and business stakeholders while mentoring engineers and remaining hands-on with critical code and complex technical issues. It also establishes governance for AI-assisted software development.

Provides strategic and technical leadership for a large-scale software engineering organization. Leads enterprise software, cloud-native architecture, AI-powered solutions, engineering standards, DevOps, CI/CD, and responsible AI adoption. Guides multidisciplinary engineering leaders, mentors senior technical staff, evaluates emerging technologies, and partners with product and business stakeholders to deliver scalable healthcare technology solutions.

Develop and enhance actuarial pricing and forecasting solutions for U.S. health insurance using statistical techniques, machine learning, AI, and large healthcare datasets. Responsibilities include dataset development, model validation, data quality assurance, reconciliation, predictive modeling, and collaboration with actuarial, data science, product, and engineering teams. The role also supports continued progress toward actuarial qualification through a structured development program.

Leads advanced healthcare analytics, data modeling, reporting, dashboard development, predictive analysis, and automation initiatives. Translates stakeholder requirements into SQL and Python-based analytical solutions, interprets healthcare cost and utilization trends, presents actionable insights to senior leaders, and mentors junior analysts. The role also oversees data governance, validation, documentation, process improvement, and delivery across multiple concurrent projects.

Leads a large team of counsellors and wellbeing professionals delivering onsite EAP services. Oversees workforce planning, scheduling, KPIs, SLAs, client relationships, governance, quality, compliance, risk management, employee engagement, and continuous improvement. Serves as the primary escalation point for operational issues, supports client retention and growth, and partners with senior leadership on strategic planning and service enhancements.

Develop and maintain scalable data pipelines, integrations, transformations, data models, and quality controls using Snowflake, Airflow, Azure, SQL, and Python. Implement data masking, monitoring, automation, CI/CD, and ETL/ELT solutions while collaborating with architects, analysts, and data stewards. Support reliable data foundations for reporting, analytics, and machine learning, using Agile delivery practices and AI-assisted engineering tools.

Provides comprehensive administrative support to senior leaders, including complex calendar management, travel coordination, expense processing, visitor arrangements, presentation preparation, documentation, communications, and stakeholder coordination. The role serves as a trusted administrative partner across Ireland and the US, while managing purchase orders, business processes, and team support activities in a hybrid environment.

Leads affordability initiatives from intake through governance, implementation, deployment, and value realization. Owns portfolio progression, governance readiness, executive reporting, risk management, stakeholder alignment, and operational improvement. Partners across clinical, finance, legal, technology, analytics, network, communications, and operations teams within a highly matrixed healthcare organization. Tracks portfolio health, dependencies, decisions, and outcomes while driving resolution of implementation barriers.

Analyzes pharmacy claims, pricing, and contract data to support reimbursement strategy and network pricing decisions. Builds and validates financial models, forecasts outcomes, investigates trends and variances, and translates complex analysis into recommendations for senior stakeholders. Partners with contracting, underwriting, finance, and operations teams while supporting reporting transformation, data stewardship, process improvement, automation, and AI-enabled analytics adoption.

Own the vision, roadmap, backlog, and delivery of data-driven products for Optum Rx underwriting. Translate business needs into technical requirements, partner with engineering and analytics teams, use SQL to investigate and validate data, and guide pipelines, ETL/ELT, data models, APIs, and Databricks-based platforms. Define product metrics, prioritize work, support Agile practices, and ensure data quality, governance, privacy, security, and regulatory compliance.

Design, build, and operate secure Azure cloud platforms supporting data, machine learning, and generative AI workloads. Develop Infrastructure as Code, automation, and CI/CD pipelines; implement monitoring, observability, security, networking, and data protection; support production systems through incident response and root cause analysis; optimize cost, performance, and scalability; and contribute to resilience, disaster recovery, documentation, and platform standards.

Leads document analysis data science initiatives focused on NLP, information retrieval, AI architectures, OCR, and text analytics. Develops, optimizes, and productionizes scalable machine learning models, translates research into operational solutions, and provides technical direction to data scientists and AI engineers. The role also drives standardization, skills development, training, career progression, and collaboration across the data science organization.

Leads Optum Insight Ireland’s technology-enabled product and innovation portfolio, partnering with business and product leaders to identify opportunities, develop roadmaps, apply AI, and deliver measurable outcomes. The role coordinates Product, Engineering, Data, AI, and Technology teams across a matrixed organization, develops technology talent, supports healthcare innovation, and leverages Ireland’s ecosystem, incentives, and research partnerships.

Leads pharmaceutical and medical rebate forecasting, formulary analysis, rebate guarantee modeling, and pricing strategy for complex client proposals. Partners with underwriting, sales, contracting, and account management teams to optimize rebates, protect margins, assess pricing risk, and support growth. Reviews forecasts against actuals, audits modeling tools, troubleshoots variances, analyzes detailed data, and develops efficient processes for compressed timelines.

Manage product strategy, roadmaps, backlogs, and Agile delivery for clinical decision support applications and platform capabilities. Partner with engineering, architecture, clinical, regulatory, and business stakeholders to define requirements, prioritize features, manage Jira boards, coordinate dependencies, and support technical decisions. Ensure products meet healthcare, quality, regulatory, interoperability, clinical safety, and customer outcome expectations across regulated software environments.

Leads network margin analytics, financial planning, forecasting, reporting, and business performance analysis for pharmacy benefit services. Manages and develops an analyst, supports budgeting and client renewals, evaluates discount guarantees and legislation risks, and provides actionable recommendations to cross-functional partners and executive leadership. Owns the margin forecast process, financial reporting tools, process improvements, and executive presentations.

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 analytics strategy, roadmap, growth agenda, and portfolio expansion for Retrospective Coordination of Benefits and Reverification. Partners with Product, Operations, Technology, Growth, and Analytics teams to identify use cases, build business cases, measure financial and operational value, and drive adoption of predictive analytics, GenAI, and Agentic AI solutions. Advises senior leadership and resolves complex business challenges through enterprise-scale analytics initiatives.

Leads statutory and legal entity financial reporting across multinational organizations, ensuring compliance with US GAAP, IFRS, and FRS 102. Prepares financial statements, disclosures, reconciliations, technical accounting papers, consolidation entries, and audit support. Partners with controllership and other stakeholders to resolve reporting and control issues, manage transfer pricing and intercompany accounting, adopt new standards, and improve processes through automation, data governance, and AI-enabled technologies.