Senior Clinical Informatics Analyst

Optum, a UnitedHealth Group Company; Makati; On-site; PHP 1,500,000 - 2,100,000; Full time

Job summary

Optum, a UnitedHealth Group Company, seeks a Senior Clinical Informatics Analyst to drive clinical content development aligned with product strategy. You will develop content for multi-product deliverables, ensuring clinical requirements meet customer and business targets.

The role emphasizes content strategy, cross-functional collaboration and adherence to policies; no people management duties are required.

Qualifications

• Undergraduate degree or equivalent experience.
• RN license in good standing.
• 10+ years of clinical nursing experience.
• 2+ years in Utilization Review, preferably with Optum Physician Advisor Services.
• 2+ years in clinical content development.
• Knowledge of case management, managed care processes, and Medicare.
• Knowledge of CDI requirements for DRG validation.

Responsibilities

• Develop and align clinical content with product and content strategies.
• Drive cross-functional clinical content deliverables to meet customer needs.
• Comply with employment terms, policies and directives as required.

Skills

Utilization Review

Clinical content development

Case management

CDI knowledge

EMR / Healthcare IT

Education

Undergraduate degree

RN license

Tools

EMR systems

Job description

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.

The Senior Clinical Informatics Analyst (SCIA) is responsible for driving the development and execution of the Optum Clinical Groups content in alignment with the product and content strategy to meet Optum Insight financial and operational targets. The SCIA develops content to meet multi product clinical content deliverables that satisfy customer and business requirements. In addition to content development management, this position is responsible to meet strategic clinical cross-functional business needs that drive product related operational success. The person in this role will not be responsible for people management tasks such as professional development planning and performance management.

Primary Responsibility:

• 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:

• Undergraduate degree or equivalent experience
• Education/Training - R.N. (with a professional license in good standing)
• Business Experience - 10+ years of clinical experience as a practicing nurse
• 2+ years of experience in Utilization Review, preferably with Optum Physician Advisor Services or a similar Utilization Review services vendor
• 2+ years of clinical content development experience, or equivalent experience
• Knowledge of case management, commercial insurers, Managed Medicare, and Traditional Medicare processes and patient status requirements
• Knowledge of Clinical Document Improvement (CDI) requirements to support DRG validation research

Preferred Qualification:

• Healthcare Information Technology (IT) and Electronic Medical Record (EMR) experience

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.

Optum is a drug-free workplace. © 2026 Optum Global Solutions (Philippines) Inc. All rights reserved.