Optum Coding Jobs in Illinois (NOW HIRING)

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.   

We are seeking a highly skilled and strategic leader to manage our Electronic Data Migration and Implementation (EDMI) technology team. In this critical leadership role, you will manage a talented team operating across iSeries RxClaim and Azure platforms. Your primary focus will be directing the conversion and loading of inbound historical claims and prior authorization data from external PBMs during client onboarding as well as data copies for existing clients. Secondarily, you will drive continuous process improvements, deliver enhanced products, partner with other internal teams such as Test360 and oversee code deployments for system enhancements. You will lead "white glove" implementations for our most challenging health plan partners, spanning Medicare, Medicaid, Commercial, and HIX lines of business. Working closely with business partners and IT Agile Practitioners, you will ensure customer requirements are accurately translated and commitments are met on time. As a dedicated people leader, you will set the team's vision, balance workloads, conduct Common Reviews, manage training, and mentor your team. By utilizing approved digital tools and automated practices, you will guide your team to streamline requirements analysis and optimize data-migration workflows.

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities

• Lead, mentor, and set the strategic vision for the Electronic Data Migration and Implementation (EDMI) team operating across iSeries RxClaim and Azure environments, fostering professional growth and ensuring proper training
• Oversee the end-to-end operational execution of converting, validating, and loading inbound historical claims and prior authorization data from external PBMs as part of client onboarding
• Oversee execution of data copies for existing clients when business structures change
• Drive operational process improvements, deliver enhanced products, and oversee code deployments for systems enhancements and new features
• Support high-visibility, "white glove" implementations for challenging health plan partners across Medicare, Medicaid, Commercial, and HIX lines of business
• Collaborate closely with business stakeholders and IT Agile Practitioners to translate customer requirements accurately and ensure all team commitments are met on time
• Direct all people management activities, including workload balancing, team mentoring, discipline, training programs, and conducting Common Reviews
• Leverage enterprise-approved AI tools to streamline daily workflows, analyze complex requirements, and automate migration mapping tasks
• Evaluate emerging data migration and technology trends to drive operational process improvements and strategic innovation

Design, develop, and deploy AI-powered solutions to address complex business challenges with emphasis on responsible use of AI

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 8 years of experience in data migration, systems management, or IT operations in a technology environment
• 3 years of experience in Pharmacy Benefit Management (PBM) or healthcare IT, with direct experience working with PBM platforms (e.g., RxClaim)
• 3 years of experience as a people manager leading and mentoring technology teams, including balancing workloads, conducting performance evaluations, and managing discipline
• 3 years of experience managing data conversion, data loading, or onboarding operations (e.g., historical claims or prior authorization data)
• 2 years of experience working closely with business partners and IT Agile Practitioners to translate requirements and deliver projects
• 1 years of experience utilizing automated workflows, scripting, or enterprise-approved AI tools to streamline processes or automate team tasks

Preferred Qualifications:

• Bachelors degree in information technology or related field
• Proven experience supporting high-stakes, "white glove" implementations for Medicare, Medicaid, Commercial, or HIX clients
• Deep knowledge of PBM structures, claim adjudication processes, and prior authorization data schemas
• Technical familiarity with iSeries/AS400 environments and Microsoft Azure cloud platforms
• Experience with SQL, COBOL, and/or RPG programming
• Experience working within Agile frameworks and utilizing Agile tools (e.g., Rally)
• Outstanding communication, collaboration, and stakeholder management skills with a strong customer-centric focus
• Demonstrated ability to adopt and champion modern technical practices, such as utilizing approved AI or automation tools, to reduce manual data conversion tasks

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. 

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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