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AI Summary

The role involves designing and maintaining scalable data pipelines in Snowflake to process complex clinical and claims data for HEDIS reporting. You will also integrate AI/ML models into workflows to automate clinical data extraction and care gap identification.

Our Company

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, and data 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.

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

Position Summary

As a Senior Engineer specializing in Healthcare Effectiveness Data and Information Set (HEDIS) measures and clinical quality data, you will lead the architecture, transformation, and optimization of clinical data solutions using Snowflake and AI/ML technologies. You will partner with business analysts, clinical quality leaders, and data science teams to build scalable, AI-enhanced data pipelines that streamline HEDIS reporting, automated chart abstraction, quality measure analytics, and care gap identification. This role combines deep healthcare domain expertise in HEDIS/Stars with modern cloud data platform engineering and AI capabilities.

Primary Responsibilities

  • Design, build, and maintain scalable data pipelines in Snowflake to ingest, transform, and manage complex clinical and claims data for HEDIS measure processing
  • Integrate Artificial Intelligence and Machine Learning models (such as natural language processing and predictive analytics) into Snowflake data workflows to automate clinical data extraction and care gap identification
  • Optimize Snowflake queries, data models, snowpipes, and data warehouse performance for large-scale healthcare data analytics
  • Collaborate with clinical quality, Stars, and reporting teams to translate NCQA/HEDIS specification requirements into technical logic and automated data workflows
  • Implement robust data quality checks, data governance, security protocols, and HIPAA-compliant data practices across all Snowflake and AI pipelines
  • Mentor junior engineers and collaborate with cross-functional technical teams to continuously refine technical architecture and MLOps/DataOps practices
  • 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 direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.



Required Qualifications

  • 6+ years of experience in data engineering, software engineering, or data warehouse architecture within the healthcare industry
  • 3+ years of hands-on experience designing, developing, and optimizing data solutions on Snowflake (including SQL, Snowpark, or data modeling)
  • 3+ years of experience developing in Python, SQL, or Scala for automated data processing
  • 2+ years of experience integrating Artificial Intelligence, Machine Learning, or Natural Language Processing (NLP) models into data pipelines

Preferred Qualifications

  • Bachelor’s or Master's degree in Computer Science, Data Engineering, Healthcare Informatics, or a related technical field
  • 3+ years of experience with Healthcare Effectiveness Data and Information Set (HEDIS) measures, clinical quality data, or medical claims processing
  • Experience with Snowpark Python/Java or Cortex AI capabilities within Snowflake
  • Experience with NCQA HEDIS digital measure specifications (e.g., dQMs, FHIR, Quality Data Model)
  • Experience with cloud orchestration tools and CI/CD pipelines (e.g., Airflow, Azure DevOps, Jenkins, Docker)

*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 $91,700 to $163,700 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.

 

 

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

 

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

 

 

#RPO, #GREEN

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