Software Engineering Lead-Facets, .NET/C#, API, EDI

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities:

• Be able to understand the Facets Delivery, Client priority and requirements
• Good in adapting & adopting new technology footprints to optimize business solutions
• Applies knowledge of principles and techniques to solve technical problems
• Be able to translate the business requirements/functional design to job design
• Be able to work on EDI transactions like 837 and 835
• Be able to contribute in DevOps, CI/CD and other engineering forums
• Be able to design, develop UI solutions by using C#.NET/ Angular JS
• Self-motivated with the ability to work both independently and in a team environment
• Actively engaged as a scrum team member in all agile mechanisms
• Reviews, analyzes, develop/modifies and Completes stories within definition of done, on time within original estimates
• All aspects of deliverable (detailed code design, coding, unit and integration test, automation, and deployment)
• Able to understand the existing designs and technology choices within products, and make appropriate adjustments to existing designs when necessary
• Should be involved in peer reviews
• Develop innovative approaches on performance optimization & automation
• Delivers solutions devoid of significant security vulnerabilities
• Participates in on-call rotation
• Tickets are closed within SLA
• Applies learnings from on-call rotation into delivered software
• Contributes to outage retrospective discussions and documentation
• Participate in Requirement gathering and Production Support for incidents
• Provide timely updates on tasks
• Adherence to the defined SLA Compliance etc.
• Lead a small team of 3-4 Developers & take the end to end ownership of the delivery by participating in the solutioning, reviews till the end of implementation
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

• Bachelor’s Degree
• 8+ years overall IT experience
• 5+ years of experience in Facets Claims domain
• 5+ years of experience in development and testing experience in C# / .Net programming language
• 5+ years of experience in Database Design/Programming
• 2+ years of Agile experience
• Working experience of implementing interfaces in Claims domain in Facets which includes Data Model, Core Claims processing batch jobs, Facets UI, Facets Workflow
• Good Knowledge on US Healthcare Industry
• Good end to end claim, Payment lifecycle understanding in Facets
• Good understanding around Claims pricing, errors, edits, adjustments & payments
• Good understanding about the structure and significance of key /HIPAA X12 EDI transactions like 837, 277CA, 835, etc.
• Proven solid organizational skills and focus on accuracy and attention to detail

Preferred Qualifications:

• CI/CD Experience
• Healthcare EDI Experience
• Knowledge of data-streaming (like kafka)
• Knowledge of NetworX pricer
• Good understanding of Medicaid / Medicare line of business
• Understanding of Production support process
• Comfortable in executing SQL queries, procedures, cursors

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission.