Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together
Primary Responsibilities:
•Lead the design, development, delivery, and support of RxClaim Core Adjudication capabilities across Government, Commercial, and Compliance initiatives
•Provide technical leadership for Synon (CA 2E), AS400/iSeries, DB2, COBOL, and enterprise adjudication solutions
•Drive end-to-end execution of strategic enhancements, regulatory compliance changes, and modernization initiatives
•Partner with Product, Business, Architecture, and Operations teams to translate business requirements into scalable technical solutions
•Ensure application stability, performance, reliability, security, and adherence to healthcare and regulatory requirements
•Mentor engineers, establish engineering best practices, and drive continuous improvement across design, development, testing, and deployment
•Lead root-cause analysis and resolution of complex production issues impacting pharmacy claims adjudication
•Drive modernization of legacy platforms through automation, API enablement, reusable assets, and engineering efficiency initiatives
•Champion AI-driven engineering practices by leveraging Microsoft Copilot, Generative AI, AI-assisted development, knowledge hubs, intelligent documentation, and automation solutions
•Identify and implement AI use cases that improve developer productivity, accelerate onboarding, enhance code analysis, and reduce delivery cycle times
•Collaborate with leadership to define technology strategy, capacity planning, risk management, and execution roadmaps
•Ensure high-quality delivery through Agile practices, engineering governance, code quality standards, and operational excellence
•Comply with all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements
Required Qualifications:
•Bachelor's degree in Computer Science, Engineering, Information Technology, or related field
•12+ years of software engineering experience with significant expertise in AS400/iSeries and Synon (CA 2E) development
•Experience leading complex application development, maintenance, modernization, and production support initiatives
•Experience delivering Government Programs, Compliance, regulatory, and healthcare-related enhancements
•Deep knowledge of RxClaim Core Adjudication and pharmacy benefit management (PBM) processes
•Solid understanding of software architecture, SDLC, Agile delivery, DevOps, CI/CD, and engineering governance
•Solid technical proficiency in Synon, RPG, COBOL, CL, DB2/400, SQL, and high-volume transactional systems
•Demonstrated ability to lead cross-functional teams, manage technical risks, and drive strategic business outcomes
•Proven excellent communication, problem-solving, stakeholder management, and leadership skills
AI Builder Qualifications:
•Hands-on experience leveraging Generative AI tools such as Microsoft Copilot, GitHub Copilot, ChatGPT, Claude, or similar AI platforms
•Experience identifying and implementing AI-powered solutions that accelerate modernization, onboarding, testing, and operational efficiency
•Solid understanding of responsible AI practices, governance, security, and enterprise adoption considerations
•Proven ability to apply AI for code generation, code analysis, documentation, knowledge management, automation, and engineering productivity improvements
