Jobs at Optum

Lead regulatory interpretation and analysis for Optum Rx pricing and underwriting. Assess federal and state impacts, provide actionable guidance to actuarial, pricing, underwriting, legal, and product teams, support governance and risk processes, monitor emerging regulations, and mentor junior analysts.

Lead and build an integrated pharmacy analytics function to deliver KPIs, dashboards, and advanced analytics (AI/ML, predictive modeling) that improve community pharmacy operations, financial performance, and patient outcomes. Influence senior stakeholders, mentor analytics teams, set execution rhythms, and align cross-functional partners to drive measurable operational and financial results.

Design, build, and maintain scalable ETL/ELT pipelines and data integrations to consolidate, transform, and prepare large datasets for analytics and ML. Enforce best practices, data governance, monitoring, and support while collaborating with business and analytics teams to improve data quality and enable insight-driven decisions.

Lead hands-on design and delivery of scalable cloud-based data platforms and Lakehouse solutions, build high-volume batch and streaming pipelines, define standards for data modeling, quality, lineage, security, and observability, create reusable patterns, mentor engineers, and partner with product, AI, security, and governance stakeholders to enable analytics and AI use cases.

The Director of Network Contracting will manage relationships with wholesalers, implement pharmacy profitability solutions, execute cost reduction strategies, and oversee contract negotiations.

As a Senior Data Scientist, you'll analyze complex healthcare datasets, apply advanced analytics, and collaborate to improve patient outcomes and operational efficiency.

Build and productionize generative AI and classical ML solutions for healthcare: data preparation, feature engineering, model/prompt development, evaluation, deployment, MLOps, monitoring, retrieval/indexing, and responsible AI practices while collaborating with cross-functional stakeholders.

Provide on-site EAP counseling, assessments, referrals, manager consultations, crisis intervention, training, and limited aftercare monitoring while supporting client metrics and compliance.

Develop and maintain provider- and market-level performance scorecards and reporting, analyze large healthcare datasets to identify trends and improvement opportunities, support provider accountability and value-based care initiatives, produce executive-ready insights, and partner with clinical, network, and BI teams to drive performance improvement.

Lead enterprise performance and financial analytics by designing KPI hierarchies, building attribution and tracking models, connecting operational metrics to financial outcomes, producing executive insights and value realization reporting, and partnering with Finance and BI teams to support strategic decision-making across risk, quality, affordability, and operations.

Lead governance and validation of clinical analytics methodologies by reviewing Databricks notebooks, SQL, Python and Spark code; maintain methodology documentation; partner with clinical and business stakeholders; conduct impact assessments and present methodology updates to leadership to ensure analytical integrity and transparency.

Lead development and management of pharmacy provider networks through pricing modeling, contract negotiation, market intelligence, and performance monitoring. Provide leadership to a team, partner with executive stakeholders, ensure network access and cost objectives, and support product and contract strategy in compliance with client requirements.

Lead and shape technical product strategy, roadmaps, and delivery for a suite of products. Drive discovery, backlog prioritization, cross-team coordination, data validation, AI-enabled practices, and stakeholder communications. Mentor TPMs, manage risks and dependencies, and ensure quality, compliance, and scalable technical solutions across multiple teams.

Provide remote Tier 1 technical support for Change Healthcare Radiology PACS solutions across Ireland, UK, and France. Troubleshoot applications, systems, connectivity, monitor alerts, manage cases and SLAs, document work, update knowledge base, collaborate with internal teams, and participate in an on-call rota.

Lead product vision, strategy, and roadmap for Claim Review products. Collaborate with engineering, AI/ML, analytics, and GTM teams to build data-driven, cloud-based solutions. Prioritize features, measure KPIs, ensure successful launches, and scale client-proven innovations while monitoring market and regulatory trends.

Lead commercial analytics for PBM formulary design, pricing, and benefit strategy. Translate business needs into analytical frameworks, evaluate financial and utilization trade-offs, support scenario analysis and forecasting, liaise between stakeholders and analytics teams, and produce executive-ready recommendations and presentations for clients and leadership.

Lead rebate modeling and pre-deal analytics for pharmaceutical formularies, forecast rebate opportunities, build rebate guarantee models, evaluate pricing risk, and support cross-functional teams on RFPs and strategic pricing to drive client growth and margin retention.

Lead development of rebate and formulary strategies for pharmaceutical products on OptumRx and custom client formularies. Perform financial modeling and strategic analytics, collaborate cross-functionally with finance, clinical, legal and contracting teams, manage manufacturer relationships, apply OptumRx P&T clinical guidelines, and present recommendations to senior leadership.

Lead rebate forecasting and optimization for pharmaceutical and medical drug rebates across client formularies. Analyze client and competitor formularies, advise underwriting and sales on rebate strategy, design pricing/plan options, audit forecasting tools, and present clear executive insights to support RFPs and margin retention.

Provide high-level administrative support to two senior leaders: manage complex calendars, coordinate travel and visits, process expenses and POs, prepare executive materials and PowerPoint presentations, support stakeholder engagement across Ireland and the US, and improve efficiency using technology and AI tools.