About UHG

Careers at UnitedHealth Group


We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:

Information Technology



Approximate Salary:

Not Specified

Position Type:

Full Time

Business Rules Author - UnitedHealthcare - Multiple Locations

UHG - Horsham, Pennsylvania

Posted: 12/7/2018

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)


As a Business Rules Author, you will be responsible for end-to-end business rules management activities - creating, controlling and improving business rules using our business process and rules management tool. This role will help establish a business process and rules configuration team and foundation as a part of a major organizational transformation initiative. The Business Rules Author will author, manage and configure business operations’ rules to align with business improvement opportunities and regulatory changes as well as manage the creation / authoring of rule changes and implement business rules based on submitted requirements, including environment configuration and deployment activities.


Please note: This position is based at our office in Horsham, PA; Minnetonka, MN or Milwaukee, WI.


Primary Responsibilities:

  • Analyze, design, develop, test, and implement, business decisions and rules using  JBoss a Red Hat BRMS (Business Rules Management System)

  • Create rules lists and decision trees to support rules/decisions as well as design the structure of the rule repository (defining what metadata customization is needed for implementation)

  • Partner with business analyst and other appropriate team members to recognize and analyze gaps between current situation and desired outcome and engage appropriate resources to obtain information, consider solutions and deliver the solution

  • Project execution using various development methodologies, including agile development methodology

  • Ability to analyze root-cause issue, problem solve and provide key recommendations for implementation of process improvements based on business rule solutions

  • Communicate and manage potential impacts and risks associated with implementing proposed solutions to business partners and relevant stakeholders

  • Ability to function in a multi-project environment with changing priorities

  • Act as liaison between business and IT

  • Develops innovative approaches and is sought out as an expert

Required Qualifications:

  • 5+ experience working with multiple stakeholders in a matrix type environment to achieve project deliverables

  • 4+ years of experience developing/coding/authoring business rules in a commercial BRMS (Business Rules Management System) products such as Red Hat Jboss, JRules, InRule, Drools

  • 4+ years of experience setting up and customizing the testing and other environments for business users

  • Demonstrated time management, organizational, and prioritization skills and ability to balance multiple priorities

Preferred Qualifications:

  • Bachelor’s degree

  • Experience and knowledge using Red Hat JBoss BPM Suite

  • Healthcare domain expertise or background working with Claims, Enrollment, and Call Center Operations teams

  • Intermediate level of proficiency with Excel, Visio, PowerPoint and SharePoint

  • Demonstrated oral and written communications and presentation skills, suitable for leadership level

Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.(sm)


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job keywords: BPM, BRMS, Red Hat, Pega, InRule, JRules, rules development, business process, business rules, claims, healthcare, UnitedHealth Group, UHG, UnitedHealthcare, UHC, Horsham, PA, Pennsylvania, Minnetonka, MN, Minnesota, Milwaukee, WI, Wisconsin

Apply Now