Director, Healthcare Data Analytics — Remote

Sacbar; Reston, Northern (VA, KY); Hybrid; USD 135,000 - 231,000; Full time

Job summary

OptumCare seeks a Senior Data Scientist to join our health policy analytics team. You will design Medicare/Medicaid payment models, run advanced analyses, and deliver client-focused insights to improve health program outcomes.

Remote work within the U.S. is supported; in-office days may be required in Minneapolis or Washington, DC. Strong SQL/Python/R/SAS, AI integrations, and leadership are essential.

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.
• 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 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, and perform ROI analyses.
• Efficiently query large databases of healthcare claims and eligibility data.
• Apply machine learning, econometrics/statistics, predictive modeling, ROI analysis, simulation, and data visualization to support health policy.
• Mentor other staff to develop technical and analytical problem-solving skills.
• Write detailed specifications and documentation of data processing and analytical steps.
• Write effective and efficient code and ensure quality control procedures.
• Maintain a high degree of accuracy and attention to detail in all tasks.
• Work cooperatively as a member of a project team.
• Help oversee adoption of AI into technical activities.

Skills

SQL

Python

R

SAS

AI in workflows

Client advisory

People management

Healthcare data concepts

Snowflake/Databricks

Education

Academic coursework in advanced statistics or econometric modeling

Tools

Snowflake

Databricks

Github

Job description

OptumCare seeks a Senior Data Scientist to join our health policy analytics team. You will design Medicare/Medicaid payment models, run advanced analyses, and deliver client-focused insights to improve health program outcomes.

Remote work within the U.S. is supported; in-office days may be required in Minneapolis or Washington, DC. Strong SQL/Python/R/SAS, AI integrations, and leadership are essential.