Jobs at Optum

Serves as Scrum Master and Agile coach for enterprise software teams, facilitating Scrum ceremonies, coordinating dependencies, removing impediments, tracking delivery metrics, and managing team financials. Promotes self-organization, continuous improvement, cross-functional collaboration, and transparent execution within Release Train or Value Stream environments. Coaches teams in Agile practices, supports safe and accountable team cultures, and uses approved AI tools to streamline workflows and automate tasks.

Senior Data Engineer responsible for monitoring enterprise data pipelines, resolving production incidents, implementing data quality checks, automating operational workflows, and improving reliability across pharmacy data environments. The role also involves AI-enabled process optimization, data governance, documentation, technology evaluation, and operational best practices. Required experience includes data engineering, Azure cloud platforms, Scala or PySpark, SQL, Databricks, Airflow, Azure Data Factory, and production pipeline support.

Interview hospital patients and advocate for maximum benefit coverage by completing government program applications, reviewing medical records, expediting approvals, communicating with agencies and hospital staff, and documenting claim statuses. The role requires onsite full-time work in Aurora, Illinois, Monday through Friday, with flexibility during business hours. Training is provided, and customer service experience, Microsoft Office familiarity, and healthcare knowledge are valued.

Leads Medicare Part D Star Ratings strategy, performance management, analytics, and client engagement. Serves as a clinical subject matter expert on CMS requirements, interprets performance data, identifies care-gap opportunities, and develops interventions to improve medication adherence and quality outcomes. Manages and mentors Star strategy pharmacists, collaborates across clinical and operational teams, supports strategic projects, and communicates insights to clients and executives.

Administer, architect, optimize, secure, and automate PostgreSQL, MySQL, and Snowflake databases in Azure. The role develops resilient database solutions for healthcare applications, manages performance, access controls, encryption, backups, and disaster recovery, and creates technical documentation. It collaborates across Scrum teams, presents solutions to stakeholders, evaluates emerging technologies, uses approved AI tools, solves complex database challenges, and mentors junior engineers.

Owns strategic OptumRx client relationships, leading account strategy, executive engagement, retention, growth, renewals, contract performance, and cross-functional service delivery. Develops multi-year roadmaps, drives innovation and product adoption, manages escalations, monitors profitability and performance, and identifies expansion opportunities. Requires strong PBM account management, consultative leadership, executive communication, project execution, and business development experience. Remote work is available within the U.S., with travel up to 25%.

Lead and develop a high-performing home health sales team for Illinois. Set and monitor admit and census goals, coach Account Executives, implement best practices, align sales with operations, drive profitable growth, and execute corporate initiatives while traveling extensively within the territory.

Leads technical delivery of Master Data Management solutions using Informatica MDM and PowerCenter. Designs and implements ETL mappings, workflows, transformations, data quality processes, governance practices, SQL data marts, and Python automation. Oversees MDM specialists, monitors production jobs, troubleshoots operational issues, supports testing and validation, tunes performance, documents technical solutions, and collaborates with state agencies, QA, business teams, and project leadership.

Leads complex pharmacy network contract negotiations with chains, grocers, PSAOs, and specialty pharmacies. Evaluates contract language, reimbursement structures, financial performance, market intelligence, and operational impacts to develop rates and improve provider relationships. Presents market trends, oversees provider termination processes, ensures contract compliance, and drives financial results. Provides leadership and accountability across multiple management layers while collaborating with internal teams, clients, and external stakeholders.

Manages and coordinates hospice volunteers, including recruitment, training, education, assignments, patient and family coordination, activity monitoring, and documentation in the electronic medical record. Ensures volunteer program standards comply with regulatory and certification requirements, escalates urgent concerns, and supports hospice care operations.

Design, develop, and implement ATDD/BDD automated tests using AI tools and frameworks (Cypress, Cucumber, TypeScript). Execute UI and API testing, integrate automation in CI/CD pipelines, mentor testers, collaborate with scrum teams on acceptance criteria, and validate system quality across functional, integration, and regression testing.

Dispense and verify medications, provide clinical pharmacy services, monitor pharmacokinetic dosing and patient outcomes, and support medication safety. Collaborate with hospital care teams, oversee sterile and non-sterile compounding, supervise pharmacy staff, maintain controlled-substance security, and ensure regulatory compliance. The part-time role provides weekend and PTO coverage across three Illinois hospitals.

Lead architecture and technical strategy for GenAI and Amazon Connect implementations. Translate business requirements into scalable conversational AI solutions, design integrations across CRM/WFM/data layers, validate development outputs, support testing/UAT, and promote reuse, security, and performance across cloud-based GenAI and digital routing systems.

Provide legal counsel to the Digital Pharmacies and Payer Relations Team on pharmacy operations, regulatory compliance (including 340B, FCA, Anti-Kickback), contracts, transactions, and strategic initiatives; negotiate and draft complex commercial and data agreements; advise senior executives; partner with enterprise stakeholders; and mentor other attorneys.

Provide hospice nursing care as case manager: perform initial and ongoing assessments, develop and coordinate individualized plans of care, document clinical notes, collaborate with interdisciplinary team, educate and support patients and families facing end-of-life.

Provide pharmaceutical care and oversee pharmacy operations for home delivery services to long-term and post-acute care facilities. Dispense medications, supervise production staff, prepare IV kits, manage controlled substances and inventories, ensure DEA and regulatory compliance, and maintain accuracy and delivery schedules.

The Director will define AI strategies, lead development of AI agents, drive engineering enablement, and ensure solutions meet business objectives while aligning with enterprise standards.

Execute sales strategy to grow market share by developing referral source relationships, delivering education and community in-services, documenting sales activities, and serving as liaison between referral sources, patients/families, and agency operations to generate and retain referrals.

Drive hospice referrals and market share by building relationships with referral sources, delivering education and community outreach, documenting sales activities, and acting as liaison among referral sources, patients/families, and agency teams.

Provide in-home personal care and assistance with activities of daily living (bathing, grooming, dressing, ambulation, medication reminders). Support household tasks and meal preparation, accompany clients to appointments, monitor and document condition and vital signs using EVV, operate medical equipment safely, and respond to client needs while maintaining confidentiality and a safe environment.