Health Consultant, Payment Model Operations - Remote

RXinsider LTD.; Reston, Northern (VA, KY); Hybrid; USD 92,000 - 164,000; Full time

Benefits offered by this job

Benefits package

Job summary

UnitedHealth Group seeks a Consultant of Payment Model Operations to support day-to-day operations for value-based care contracts, onboarding participants, communications, help desk, and compliance.

You will work with senior leaders to deliver high-quality deliverables and drive innovation. Remote work from anywhere in the U.S.; Minneapolis or DC-area offices may require four days in person per week.

Qualifications

• 4+ years of health policy experience in healthcare consulting, program implementation, evaluation and/or policy expertise.
• 2+ years of experience working on CMS/CMMI value-based care payment initiatives.
• Broad understanding of federal health policy issues, with ability to work as a subject matter expert.
• Excellent verbal and written communication skills with the ability to translate complex findings to non-technical audiences.
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Responsibilities

• Engage, develop, and sustain client relationships through policy consultation, strategic guidance, and thought leadership.
• Support end-to-end operational functions for value-based care initiatives, including onboarding, stakeholder communications, help desk, monitoring, and compliance oversight.
• Ensure consistently high standards of accuracy, quality control, and attention to detail across all deliverables.
• Collaborate effectively as a member of a multidisciplinary project team.
• Support business development and growth activities, including capture and proposal response.

Skills

Health policy experience

CMS/CMMI value-based care

Federal health policy knowledge

Strong communication skills

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

OptumServe Consulting/The Lewin Group (OSC/Lewin), a Premier National Health Care And Human Services Consulting And Policy Analysis Firm, Brings 50 Years Of Experience Finding Answers And Solving Problems For Leading Organizations In The Public, Non-profit, And Private Sectors. Lewin's Strategic And Analytical Services Aim To Help Clients

In the wide-ranging field of health human services consulting, OSC/Lewin provides both depth and breadth of expertise. Currently, OSC/Lewin has more than 250 consultants drawn from industry, government and academia. They all share a solid commitment to OSC/Lewin's core values of objectivity, integrity, analytical innovation, vision, and dedication to client satisfaction.

At OSC/Lewin, we help federal decision-makers strengthen health and human services programs, make informed policy choices, and implement critical initiatives. OSC/Lewin also works with foundations and associations to research and evaluate complex health care and human services needs. By delivering objective, data-driven research, program planning and development, technical assistance, implementation, post-implementation analytics, and evaluations, OSC/Lewin supports current program activities, informs future program investments and supports strategic decision processes that improve the health and well-being of the nation's citizens.

The Consultant of Payment Model Operations will support the day to day operational efforts for payment model implementation contracts, including participant onboarding, participant management and communications, help desk operations, and monitoring and compliance activities.

Working collaboratively with senior leaders and cross functional teams across the organization, the Consultant will deliver exceptional client service, produce high quality, timely deliverables, and drive innovation across the market.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities

• Engage, develop, and sustain client relationships through policy consultation, strategic guidance, and thought leadership
• Support end-to-end operational functions for value-based care initiatives, including participant onboarding, stakeholder communications, help desk support, monitoring, and compliance oversight, to ensure efficient implementation and sustained program performance
• Ensure consistently high standards of accuracy, quality control, and attention to detail across all deliverables
• Collaborate effectively as a member of a multidisciplinary project team
• Support business development and growth activities, including capture and proposal response

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• 4+ years of relevant health policy industry experience in healthcare consulting, program implementation, quality improvement, evaluation, and/or policy expertise
• 2+ years of experience working on CMS/CMMI value-based care payment initiatives
• Broad understanding of federal health policy issues, with ability to work in multiple areas serving as a subject matter expert
• Excellent verbal and written communication skills with the ability to translate complex findings to non-technical audiences
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.