Serve as a lab and microbiology SME to map, standardize, and troubleshoot clinical and claims data (including lab datasets). Produce ETL specifications, perform source-to-target mapping, manage crosswalks, collaborate with engineering and life-science customers, and support product releases and updates.
Requisition Number: 2335079
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:
Required Qualifications:
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.
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:
- Serve as a laboratory and microbiology subject matter expert for related lab/microbiology related questions within the company
- Support technical teams within the organization by providing specifications on how to manage/map/transfer clinical data elements
- Participate in ETL development through the production of written specifications to engineering teams
Perform custom source to target mapping of coded and un-coded data from customer's clinical (EMR's) and financial (claims) data to both industry standards and proprietary coding systems - Perform standardization of additional data elements including but not limited to units of measurement, free text results and numeric assessments
- Utilize clinical knowledge to collaborate with life science customers and translate their needs to actionable business requirements
- Manage crosswalks between industry standards and internal identifiers
- Perform investigations of clinical data issues, identify root cause and trouble shoot. Including but not limited to laboratory and microbiology datasets
- Collaborate with internal engineering teams to develop mapping solutions
- Support product release work and scheduled updates including resolving mapping issues
- Work closely with other clinical informatics specialists in knowledge representation areas
- Ability to work creatively and flexibly, both independently and as part of a team
- Desire and ability to learn new skills, systems, and processes
- 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 regard 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:
- Graduate degree or equivalent experience
- Bachelor's degree in biology, laboratory sciences, or healthcare
- 2+ years direct patient care clinical experience
- 2+ years of work experience with clinical data in EMR (Electronic Medical Records) or Claims
- 1+ years experience mapping source data to target system
- ASCP Board of Certification (BOC) or equivalent certification
- Experience working with EMR and claimed data. Backend experience preferred, both backend and frontend ideal
- Familiarity with industry-standard medical coding. Including at least one of the following: NDC, RXNorm, Loinc, SNOMED, CPT, ICD-10, or HCPCS
- Proficiency in SQL and Regular expression (REGEX)
- Familiarity with big data and cloud technologies
- Demonstrated ability to perform tasks and adhere to timeframes within a project plan
- Demonstrated ability to independently analyze and summarize laboratory data issues
- Demonstrated solid ability to communicate technical information to a variety of audiences, including non-technical and technical individuals, using verbal and written communication
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.
Top Skills
Emr,Claims,Sql,Regex,Ndc,Rxnorm,Loinc,Snomed,Cpt,Icd-10,Hcpcs,Etl,Big Data,Cloud
Similar Jobs at Optum
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Design, develop, and optimize analytics/algorithm solutions (including SAS) end-to-end. Analyze business and technical requirements, assess impact of changes, build streaming and Databricks-based pipelines, collaborate with onshore stakeholders, support releases and CI/CD, and ensure quality and process compliance within healthcare domain.
Top Skills:
Python,Pyspark,Scala,Azure Databricks,Ms Sql Server,Cassandra,Kafka,Spark Streaming,Sas,Devops,Ci/Cd,Rally
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Design, develop, and optimize data algorithms and streaming applications; analyze business requirements; perform impact analysis and code updates; build CI/CD pipelines; collaborate with onshore business during US hours and ensure delivery quality and process compliance.
Top Skills:
Python,Pyspark,Scala,Azure Databricks,Microsoft Sql Server,Cassandra,Kafka,Spark Streaming,Sas,Ci/Cd,Devops,Rally
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Manage and optimize enterprise-scale BI and data platforms (on-prem and cloud). Develop and enhance applications, ensure 24x7 availability, troubleshoot production incidents, perform root-cause analysis, optimize performance, conduct code reviews, automate IaC, and collaborate with stakeholders to deliver integrated analytics solutions.
Top Skills:
Tableau,Alteryx,Proc Sql,Sql,Python,Azure,Terraform,Power Automate,Powershell,Shell Scripting,Github,Windows,Unix
What you need to know about the Pune Tech Scene
Once a far-out concept, AI is now a tangible force reshaping industries and economies worldwide. While its adoption will automate some roles, AI has created more jobs than it has displaced, with an expected 97 million new roles to be created in the coming years. This is especially true in cities like Pune, which is emerging as a hub for companies eager to leverage this technology to develop solutions that simplify and improve lives in sectors such as education, healthcare, finance, e-commerce and more.

