Director, Health Analytics — Medicare/Medicaid Data Strategy

Sustainable World, Inc.; Reston, Northern (VA, KY); Hybrid; USD 135,000 - 231,000; Full time

Benefits offered by this job

Remote work flexibility

Comprehensive benefits package

Equity stock purchase

401k contribution

Job summary

OptumCare in the United States seeks a senior data analytics professional to perform advanced quantitative analysis on Medicare/Medicaid payment models and to design calculations, data pipelines, and reports for client engagements.

You will deploy machine learning, econometrics, and data visualization while mentoring teammates and ensuring high-quality documentation. Remote work is allowed nationwide, with in-office four days weekly for Minneapolis or DC area hires.

Qualifications

• 8+ years of experience using SQL, Python, R or SAS in a research, consulting, or business environment
• 6+ years of experience working on federal health policy issues, including Medicare and Medicaid value-based payment, working in multiple areas serving as a subject matter expert
• Experience working with Medicare or Medicaid healthcare claims and enrollment data
• Experience working with and advising clients
• Experience in managing personnel
• Extensive knowledge of healthcare data/payment concepts (e.g., claims data structure/contents, claim types, payment concepts)
• Experience managing and working directly with teams operating in Snowflake and/or Databricks environments.
• Experience incorporating AI into technical workflows.
• Excellent written and oral communication skills, including the ability to clearly communicate analyses and findings to clients

Responsibilities

• Independently perform a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid payment models
• Develop strategic working relationships with clients
• Design payment calculations, conduct financial and trend analysis, calculate quality metrics
• Efficiently query large databases of healthcare claims and eligibility data
• Apply machine learning, econometrics/statistics, predictive modeling, return-on-investment analysis, simulation, and data visualization methods
• Mentor other staff to develop their technical and analytical problem-solving skills
• Write detailed specifications and documentation of data processing and analytical steps
• Write effective and efficient code both independently and under the guidance of project managers
• Maintain a consistently high degree of accuracy and attention to detail in all tasks
• Work effectively and cooperatively as a member of a project team
• Help to oversee adoption of artificial intelligence into technical activities

Skills

SQL

Python

R

SAS

Health policy

Medicare/Medicaid data

Client advisory

People management

Healthcare data concepts

AI in workflows

Communication skills

Tools

Snowflake

Databricks

Job description

OptumCare in the United States seeks a senior data analytics professional to perform advanced quantitative analysis on Medicare/Medicaid payment models and to design calculations, data pipelines, and reports for client engagements.

You will deploy machine learning, econometrics, and data visualization while mentoring teammates and ensuring high-quality documentation. Remote work is allowed nationwide, with in-office four days weekly for Minneapolis or DC area hires.