Enterprise Solution Architect – Healthcare Claims

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

• Understanding the Business Requirements and translating them to the technical functional deliverables
• Work with Business and other system to design the solution
• Be a Subject Matter expert for the functionality
• Solve the problem with the right technology
• Work with Lead Solution Architect on Roadmap and Agile delivery
• Facilitate product capability strategy, produce detailed architecture artifacts, and collaborate with business and engineering stakeholders
• Ensure solutions align with enterprise architecture standards, identifies reusable patterns, and demonstrate Agile architecture. Manage and guide junior architects to complete Segment ARB reviews
• Demonstrate expert understanding of technology stacks for software components across various capabilities
• Understand deployment patterns for software components, including their costs, and lead efforts to migrate to new deployment patterns as part of modernization
• Demonstrate expertise in security, performance, scalability, reliability, maintainability, and usability in solution design
• Evaluate service areas and makes recommendations for automation within multiple capabilities and recommends retrospectives to drive continuous improvement
• Stay current with evolving technologies to identify opportunities to apply technology in new ways, and lead teams to identify and recommend prototypes and pilots to demonstrate advantages and limitations
• 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:

• B. Tech or MCA or MSc or M. Tech
• 10+ Years of Enterprise solution architecture experience on Claims or any portals
• Proven working experience on UHC Claim Adjudication process
• Experience of working in Agile environment
• Proven solid attention to detail and commitment to quality
• Proven ability to work in a fast-paced environment and manage multiple tasks simultaneously
• Proven excellent teamwork and collaboration abilities
• Proven excellent debugging and troubleshooting skills
• Proven good communication and presentation skills
• Proven good attitude and self-motivated

Must have Skills: 

• Claims SME
• API experience
• Healthcare Knowledge

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.