Senior Business Analyst Consultant
Optum/UHG · Hyderabad, Telangana, India · US
Health Tech
–
Pharmacist
Demand80
Career growth78
Healthcare fit55
Remote potential70
5-year outlook
Senior payer/health-tech AI evaluation roles are likely to remain competitive and well-compensated, especially with claims automation and AI governance experience; exact pay depends on location, seniority, and whether the role is contract or full-time.
Clinical license
Not required
Applicant reach
narrow
Seniority
senior
Employment type
–
Date found
2026-09-28
Intelligence details
Flexible work details
- Eligible countries
- United States
- Profession fit
- Pharmacist
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Only consider if you have strong payer claims/adjudication and AI/ML product or testing experience; most clinicians without that background will not be competitive. It can be a strong pivot for clinicians already in health plan operations, health tech, or informatics.
Who should apply
Physicians, nurses, pharmacists, or healthcare graduates with payer/claims operations, utilization management, health informatics, or AI product/testing experience, especially those who understand X12, benefit configuration, and prior authorization.
CV angle
Reframe clinical and healthcare experience around payer operations: utilization management, prior authorization, medical policy, claims review, benefit design, quality/QA, data validation, and cross-functional work with product/engineering. Quantify experience with claims scenarios, adjudication logic, test data, and AI/ML evaluation where real.
Skills to highlight
- Claims adjudication
- Payer operations
- X12/JSON
- AI/ML model testing
- QA and validation
- Prior authorization
- Benefit configuration
- AI governance
- Stakeholder collaboration
Role summary
Senior consultant supporting payer AI solutions by creating representative test claims, manually applying adjudication and benefit rules, generating structured test data, and supporting model evaluation and AI governance.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.