Quality Engineer

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:

• Manual Testing - for business transformation roles, data pipeline testing, data equivalency, data loads, performance loads
• AI Driven Quality EngineeringUtilize AI/ML models for test case prioritization, risk based testing, and predictive defect analysisImplement self healing automation using AI to reduce script failures and improve stabilityApply AI tools for intelligent test execution, optimization, and anomaly detection
• Healthcare Domain-Specific TestingValidate workflows, rules, and data accuracy across healthcare businesses such as MA, ACA, Medicaid, Claims, Provider, Eligibility, and Clinical DataEnsure strict compliance with HIPAA, PHI handling standards, and healthcare regulatory requirementsVerify healthcare coding structures (ICD, CPT, HCPCS), benefit rules, member/provider data integrity, and interoperability (FHIR, HL7) where applicablePartner with product owners to interpret healthcare business logic, coverage rules, and quality metrics accurately
• Test Data Engineering & AI Generated DataGenerate synthetic test data using AI while ensuring HIPAA compliant anonymizationAutomate creation of test datasets to simulate real world healthcare scenarios (claims processing, enrollment updates, authorization workflows, etc.)Validate large-scale healthcare datasets for accuracy, consistency, and business rule adherence
• Quality Monitoring & Production IntelligenceImplement monitoring solutions leveraging AI to detect unusual trends in application performance or healthcare data processingAnalyze logs, claims patterns, or workflow failures to identify systemic issues impacting member or provider experience
• Collaboration Across Engineering & Healthcare OperationsWork closely with engineering, data, product, and clinical/business teams to ensure solutions meet functional and regulatory expectationsProvide insights based on test analytics to improve healthcare product quality and process efficiency
• Documentation & ReportingMaintain thorough documentation for frameworks, test cases, automation processes, and healthcare validation rulesBuild intelligent dashboards showcasing test coverage, defect trends, automation ROI, and healthcare-specific quality KPIs
• Continuous Improvement & InnovationEvaluate emerging AI, automation, and healthcare QA tools to increase test effectiveness and reduce manual effortDrive innovation initiatives to modernize quality engineering, especially in healthcare workflows, data pipelines, and compliance validation
• Automated Testing Framework & Script Development - Good to haveDesign, build, and maintain automated test frameworks for UI, API, data, and workflow validationDevelop scalable and reusable test scripts using tools such as Selenium, Cypress, Playwright, Katalon, or similarIntegrate automation into CI/CD pipelines to support continuous testing and rapid releases
• 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 regards 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
• Technical Qualifications:3+ years of QA Automation experience with strong hands on skills in Selenium, Cypress, Playwright, Katalon, or similar toolsExperience designing and maintaining automation frameworks (Hybrid, BDD, Data Driven, POM)Hands-on experience with CI/CD pipelines (Azure DevOps, Jenkins, GitHub Actions, GitLab)Proficiency in programming/scripting languages such as Python, Java, JavaScript, or C#Working knowledge of cloud environments (Azure, AWS, or GCP), especially for test automation and environment validationSolid knowledge of API testing using Postman, RestAssured, Karate, or similarSolid understanding of AI/ML concepts applied to testing-test optimization, risk prediction, self healing automation, or synthetic data generation
• Healthcare Domain QualificationsExperience with healthcare coding standards such as ICD 10, CPT, HCPCS, and benefit rulesExposure to FHIR, HL7, interoperability standards, and healthcare data validation practicesFamiliarity with healthcare payer ecosystems: MA (Medicare Advantage), Medicaid, ACA, Commercial linesUnderstanding of claims workflows including adjudication, pricing, EOB/EOP, and encounter processingKnowledge of provider, member, eligibility, and enrollment dataWorking knowledge of HIPAA, PHI privacy, and compliance guidelines
• AI & Data QualificationsAbility to apply AI/ML for:Predictive test selectionAnomaly detectionIntelligent defect analysisSynthetic test data generationUnderstanding of data pipelines, ETL validation, and large-scale healthcare datasets
• Quality Engineering & Soft SkillsExperience collaborating with cross functional teams including developers, architects, product owners, and healthcare operationsExcellent understanding of QA processes, SDLC, and Agile/Scrum methodologiesProven ability to write strong test plans, test cases, and automation scripts with minimal guidanceProven solid analytical and problem solving skills, especially in identifying gaps and optimizing test coverageProven solid communication skills, especially when interpreting complex healthcare business rules

Preferred Qualifications:

• Certifications such as:ISTQBCertified SDETAI/ML FoundationsAzure or AWS Cloud PractitionerHealthcare certifications (AHIP, CPC, CPMA)
• Experience in enterprise modernization or cloud migration projects
• Experience with performance testing (JMeter, k6, LoadRunner)
• Exposure to DevOps, monitoring, and observability tools (Splunk, Dynatrace, App Insights)
• Experience with AI based automation tools (e.g., Testim, Mabl, Functionize, Appvance IQ)
• Experience with Python AI libraries (NumPy, Pandas, scikit learn, TensorFlow, etc.)

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.