Sr Business Systems Analyst - Hybrid in Richardson, TX

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 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.

This position follows a hybrid schedule with three in-office days per week.

Primary Responsibilities:

• Perform advanced data analysis on eligibility, claims, accumulators, COB, and benefits data to surface trends, anomalies, and actionable insights that improve cost, quality, and member experience
• AI Builder scope: use AI/ML for auto mapping to FHIR/USCDI, drift/anomaly detection (volume, schema, submitter behavior), data quality scoring, and auto remediation (quarantine/replay/schema fix) for self healing pipelines
• Translate complex findings into clear narratives and executive visuals; socialize recommendations and measure impact (e.g., reduced pends/denials, faster eligibility resolution, improved HEDIS measure performance)
• Maintain compliance and privacy best practices (HIPAA/PHI/PII), align with Global Governance guidance, and follow responsible AI standards (monitoring, bias checks, human in the loop)

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:

• 3+ years of experience as a Data Analyst or similar role, with a focus on analyzing and interpreting complex data to improve business processes and performance
• 3+ years of experience developing and optimizing SQL queries, stored procedures, and functions using SQL Server (Version 2016 or higher), T- SQL, Visual Studio (Version 2016 or higher)
• 3+ years of experience with analytics visualization tools such as Power BI or Tableau
• 3+ years of experience with eligibility, claims, and benefits data, including business rules and compliance requirements
• 3+ years of experience with analytical cloud data platforms (e.g., Snowflake, Databricks) and best practices for PHI/PII security and governance
• 1+ years of experience in requirements gathering, data mapping, and documentation techniques

Preferred Qualifications:

• Experience with Azure Suite tools
• Knowledge of data governance, data security, and privacy best practices
• Familiarity with data modeling and ETL/ELT processes
• Familiarity with FHIR/USCDI standards and clinical data normalization.
• Exposure to AI/ML concepts for anomaly detection, data quality scoring, and automated remediation; ability to leverage AI enabled tools for mapping and workflow automation
• Background in the healthcare industry

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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.