Jobs at Optum

Lead migration of Excel-based actuarial and pricing tools into scalable platforms. Translate actuarial and business requirements into technical solutions, ensure accurate auditable outputs, develop coding standards and testing, provide consultancy to underwriters, and mentor junior analysts.

Design, build, and maintain ETL/ELT data pipelines and processing jobs (PySpark/SQL) on cloud platforms (Azure, Databricks, Snowflake). Ensure data quality, governance, monitoring, and automation; partner with analytics and infrastructure teams to productionalize analytic pipelines and support platform architecture.

Senior leader responsible for building and governing enterprise risk intelligence: establish analytic standards, lifecycle processes, QA, governance, and 24/7 coverage. Produce scalable threat assessments, long-term forecasts, situational awareness, and executive briefings while integrating with protective intelligence, crisis management, and security operations.

Build and maintain scenario models evaluating manufacturer discounts and formulary strategies for Medicare. Extract, transform, and feature-engineer data; develop tracking reports and self-serve analytics; validate models; document reproducible methods; collaborate with stakeholders and cross-functional teams to align assumptions and translate business needs into analytical solutions.

Lead design and embed process governance across Risk Adjustment, translating policy into SOPs, controls, KPIs and non-conformance management. Drive audit remediation, review SME deliverables, advise senior leadership on operational risk, and coordinate cross-jurisdictional governance adoption and documentation standards.

Lead clinical ideation and growth for payment integrity across provider audit, IBR, and emerging solutions. Define strategy, build business cases, drive AI/ML-enabled solutions, partner with product/analytics/tech, oversee deployment and savings realization, and manage a high-performing team to deliver measurable affordability and operational outcomes.

Lead business development for pharmaceutical manufacturing and life-sciences services: source and qualify opportunities, build executive relationships, manage pipeline and forecasting, lead commercial negotiations through contract execution, and collaborate with legal, finance, and delivery teams to close multimillion-euro deals.

Lead design and operations for a Data Control Tower to define, implement, validate, and monitor data controls. Partner with engineering, analytics, product, and business stakeholders to build control catalogs, translate technical findings to business impact, manage incidents and trust states, and support governance, dashboards, and continuous improvement across healthcare data domains.

Lead enterprise analytics strategy and transformation, drive AI and advanced analytics adoption, establish governance and best practices, partner with senior leaders to deliver measurable business outcomes, and build high-performing analytics teams to enable self-service analytics and data-driven decision-making.

The Principal Data Scientist will design and implement advanced data science solutions, lead cross-functional projects, and communicate insights to stakeholders within Payment Integrity operations.

Lead pricing strategy and analysis for healthcare networks, utilizing data to optimize pricing models and engage stakeholders. Implement automation and enhance workflow efficiencies.

The Vice President of Data Science leads strategic data science initiatives in healthcare, integrating analytics across clinical operations and influencing transformation efforts.

The Director of Data Science will lead the AI Enablement team, developing strategy, managing stakeholder relations, and ensuring the delivery of data science solutions.

The role involves applying advanced analytics in healthcare, developing coding solutions, collaborating with teams, and mentoring. Focus is on data science and improving healthcare outcomes.

Lead Business Process Improvement and Transformation for Payment Integrity. Develop strategy, business cases and execution roadmaps; partner with Operations, Analytics, R&D and Technology. Track operational performance using automated statistical control models, dashboards and scorecards; ensure benefits are captured in P&L. Lead strategic projects in a matrix environment, influence stakeholders, implement corrective actions, and report progress to senior leadership to drive cost efficiency and medical cost savings.

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 complex data science projects to improve healthcare outcomes by building data solutions, collaborating with teams, and mentoring staff.

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