Senior Analytic Solution Advisor (AI)

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 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.**

The Senior Analytic Solutions Advisor AI is responsible for driving innovative analytic solution development for Payment Integrity & driving product innovation through advanced analytics & AI. The role is focused on Fraud & Abuse as well as Provider Education. Solid partnership with Operations, Product and Technology teams is expected. The role plays a vital part in initiating advanced analytics, promoting solutions, and advocating businesses to adopt analytic products and services that solve real business objectives/problems (savings and efficiency).

**Primary Responsibilities:**

This person will align top-down analytic strategy, identify opportunities in AI, engage stakeholders, and execute programs. They must be able to consult with Executives, ideate new products/services & lead multiple complex projects.

+ Aligning to strategy and roadmap

+ Partner with the business & analytic teams to develop, implement, and maintain an analytics strategy that achieves business goals

+ Develop and maintain the analytic roadmap for the assigned area, ensuring alignment with the full portfolio. Support annual planning and prioritization for the upcoming year

+ Identify opportunities and design solutions

+ Identify and research key industry, company, and operations issues, providing insight to the teams

+ Act quickly to seize opportunities to leverage analytic services in innovative and new ways that drive broader and deeper value for our clients

+ Have a process-mindset and identify where analytics can perform best in multiple steps in the PI process

+ Engage stakeholders and execute programs

+ Establish solid matrixed relationships with internal and external stakeholders to define, align, and execute analytic solutions that support new PI savings and benefits

+ Engage with innovation and growth teams to execute programs that incorporate analytic aspects

+ Promote advanced analytic services and support communication strategy/marketing

+ Create programs that build awareness and understanding of our advanced analytic services, highlighting how they compare to industry best practices (across spectrum of AIML e.g. Machine Learning, GenAI, Agentic AI)

+ Participate in demonstrations and sales presentations as needed

This is an individual contributor role and does not have any technical programming responsibilities. The role requires a resilient & resourceful individual, capable of managing ambiguity while being comfortable positioning themselves to lead on complex initiatives. A quick-learning and problem-solving mindset is essential to manage analytic deliverables at a rapid pace in a highly matrixed environment.

You will 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 providing development for other roles you may be interested in.

**Required Qualifications:**

+ Proven knowledge of fraud and risk management concepts, ideally within the healthcare industry

+ Experience with advanced analytical techniques (e.g.ML, Gen-AI, Agentic AI), advanced analytics & data science organization or role

+ Ability to identify the root cause of an issue, break it down, & develop a clear, effective solution

+ Ability to translate complex analytic results into meaningful insight for maximum customer impact and influence

+ Proven solid leadership presence, influencing, and emotional intelligence skills

+ Demonstrated proactive mindset. Demonstrated initiative and creativity by originating new ideas, anticipating, and implementing next steps

+ Ability to "tell the story" using data and metrics

**Preferred Qualifications:**

+ Experience in the Payment Integrity/US health care industry

+ Experience with Lean & Six Sigma process improvement methodologies

_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: Optum is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to gender, civil status, family status, sexual orientation, disability, religion, age, race, and membership of the Traveller community, or any other characteristic protected by law. Optum is a drug-free workplace. © 2025 Optum Services (Ireland) Limited. All rights reserved._