Optum Inc helps hospitals accurately calculate the claim reimbursement, detect underpayment from the Insurance company. Optum receives millions of claims per day which needs to be evaluated in less than 8 hours and the results need to be sent back to the hospitals for revenue recovery purposes. There is a very low tolerance for delay and error in the claim processing pipeline because it saves millions of dollars in revenue for the hospitals. Most of the US hospitals run at a profit margin of 2%, without accurate claim processing, many hospitals won’t be able to survive. In the past 3 years, we have been replacing an Oracle-based system by one written in Apache Spark, Scala, and Java.
In this presentation, we will discuss
I have been developing software since 2001,at present I am working for Optum Inc on a medical claim processing system. The healthcare industry being old is full of monoliths. I have been helping to revamp these applications to achieve simplicity, integrability, scalability and performance so that development and maintenance of the software is painless and running cost is proportionate to its earning.On the personal front I care a lot about environment, equal opportunities and human rights.I wish to build a compassionate word through software. My Stack Overflow profile - https://stackoverflow.com/users/3746637/salim