Everything must shrink - Vice President Optum Employee Review

Everything possible is being outsourced and moved to India in the tech vertical, which of itself is not a bad thing, but when you combine that with a health industry that is highly regulated and many contracts prohibit access to PHI due to HIPAA from outside of US, things start making less sense. Put that together with an astronomical time difference that makes working together and handing things off very challenging to say the least. Many slogans about patient first mentality and high quality, but this is a for profit company that is also public, so naturally it cares A LOT about profits, that many times contradict quality.