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 advantages, 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.

We are seeking a Business Systems Analyst (Salary Grade 27) to support high-impact initiatives in Payment Integrity (PI) and Defensive AI. This role will play a critical part in identifying, defining, and enabling solutions that detect and prevent Fraud, Waste & Abuse (FWA) and improve the accuracy and efficiency of claims processing.

You will act as a bridge between business, analytics, data science, and engineering teams,



translating complex business problems into scalable system and AI-driven solutions that protect enterprise value and improve healthcare outcomes.
- Primary Responsibilities:
- Business & AI Requirements Management
- Elicit, analyze, and document business, system, and AI/analytics requirements
- Translate business problems into data-driven use cases, rules, and AI model requirements
- Develop functional specifications, user stories, and process flows
- Validate requirements with stakeholders and ensure alignment with business goals
- Defensive AI & Payment Integrity Enablement
- Support development of FWA detection strategies, signals, and rules
- Translate business scenarios into pre-pay/post-pay intervention logic
- Partner with data science teams to define AI model inputs, outputs, and validation criteria
- Analyze gaps in detection and contribute to Defensive AI roadmap and enhancements
- Solution Design & Delivery
- Collaborate with technology and product teams to de

📌 Consultant Business Systems (Bengaluru)
🏢 Optum
📍 Bengaluru