Director, AI/ML Automation & Claims Orchestration

Socket.dev; Eden Prairie (MN); Hybrid; USD 177,000 - 303,000; Full time

Job summary

UnitedHealth Group is seeking a Director of AI/ML Engineering – Claims Automation & Orchestration to lead the design and delivery of an AI-enabled orchestration layer across claims systems, automation tools, and human-in-the-loop processes.

This role combines hands-on technical work with building and guiding a team of engineers and architects, influencing senior stakeholders, and delivering scalable, observable, and compliant solutions for adjudication, eligibility, and payment integrity.

Qualifications

• 8+ years of experience in AI/ML engineering, automation engineering, platform engineering, or related technology leadership roles.
• 5+ years designing or delivering automation across multiple systems, platforms or business processes.
• 5+ years establishing engineering standards, governance, observability, validation or control mechanisms for production technology solutions.
• 5+ years designing integration patterns, APIs, event-driven architectures, workflow orchestration, platform services or reusable engineering capabilities.
• 3+ years of experience applying AI/ML, generative AI, agentic AI, workflow automation, rules engines, RPA or related technologies.

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.

Skills

AI/ML engineering

Automation engineering

Platform engineering

Engineering leadership

System integration

Observability & governance

Stakeholder collaboration

Tools

Facets

Observability tools

BI dashboards

Job description

UnitedHealth Group is seeking a Director of AI/ML Engineering – Claims Automation & Orchestration to lead the design and delivery of an AI-enabled orchestration layer across claims systems, automation tools, and human-in-the-loop processes.

This role combines hands-on technical work with building and guiding a team of engineers and architects, influencing senior stakeholders, and delivering scalable, observable, and compliant solutions for adjudication, eligibility, and payment integrity.