Director, AI​/ML Engineering - Claims Automation & Orchestration - Remote

Job d:

Location:

Eden Prairie, Minnesota, United States Salary: $176,700 - $302,900/year

Job Area:
Technology Company:
United Health Group Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives.

Ready to build the next breakthrough? Join us to start Caring. Connecting. Growing together.

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives and help make the health system work better for everyone. 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.

The Director, AI/ML Engineering - Claims Automation & Orchestration will lead the design and delivery of an AI-enabled orchestration capability for Optum Health claims platforms. This role will help connect automation across claims adjudication, eligibility, payment integrity, appeals and other related processes by coordinating agentic AI, deterministic automation, workflow, validation and observability into a scalable end-to-end execution model. This leader will stay hands-on technically while building and leading an engineering team focused on improving claims processing speed, quality, transparency and operational efficiency.

This role owns the shared orchestration layer and enabling standards;
Success requires a solid technical leader who can operate across a complex, matrixed health care technology environment, influence senior stakeholders and translate emerging AI capabilities into production-ready solutions.

You'll enjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

Lead the architecture and delivery of a cross-platform claims orchestration layer that coordinates work across claims systems, automation tools, AI services, workflow engines and human-in-the-loop processes

Design a runtime routing model that determines when to use agentic AI, deterministic rules, workflow automation, RPA or manual escalation based on task type, confidence, risk and business requirements

Establish durable execution patterns so multi-step and multi-day claims processes can persist state, recover from failures and resume work across multiple platforms

Create common integration standards, reusable interfaces and task handoff patterns that allow platform teams to connect into a shared orchestration capability without duplicating work Build validation and control mechanisms including business-rule checks, output evaluation, confidence scoring, exception handling and human review for low-confidence, high-risk or high-dollar scenarios

Instrument the orchestration layer with observability, telemetry and outcome reporting to monitor throughput, quality, adoption, exceptions, failures and business impact

Partner across Claims Technology, Operations, Product, Compliance, Security, Enterprise Architecture and platform engineering teams to align the orchestration strategy with enterprise standards and business priorities

Recruit, build, coach and lead a team of  5 to 20 AI/ML engineers, automation engineers and solution architects while remaining hands-on in technical design, prototyping and tool evaluation

Define and communicate success measures, delivery milestones, risks and operating model needs to senior technology and business leadership

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:

8+ years of experience in AI/ML engineering, automation engineering, platform engineering, software engineering or related technology leadership roles5+ years of experience designing or delivering automation solutions across multiple systems, platforms or business processes5+ years of experience establishing engineering standards, governance, observability, validation or control mechanisms…