For a look at the ratio of offshoring check Linkedin for
Optum : https://www.linkedin.com/company/optum/people/
UHG https://www.linkedin.com/company/optum/people/
UHC https://www.linkedin.com/company/unitedhealthcare/people/
This is by no means exact numbers, however insight is provided on the Optum side plenty of employees in India. Not sure how those from the Philippines are hidden.
UHG leadership, please fix the UX for UHC. Horrid experience navigating through the site. Then there is claims information sent wasting paper and postage. How hard is it to give users the option for paperless? Get going on a User Story to fix this. Provide transparency to your members when you share their PII downstream. Really irritated about the ChangeHealth mess. Hadn't an idea that CH has my data.
You have a culture problem where enough of those associated with India offshoring do not respect nor engage professionally with women and those who are also brown but are call "black or AA". Hire the best now the cheapest.