Health Data Analytics Consultant - Remote

UnitedHealth Group; Reston (VA); Remote; USD 92,000 - 164,000; Full time

Job summary

UnitedHealth Group in the United States is seeking a Health Data Analytics Consultant to support Medicare and Medicaid payment model implementations. The role emphasizes intermediate SQL or Python, data analysis, and policy research in a remote setup.

You will work with health data, build models, produce documentation, and collaborate with project teams to deliver timely insights. Strong communication and problem-solving are essential.

Qualifications

• 4+ years of experience in health analytics field.
• 4+ years of experience using Python, SQL or R in a research, consulting, or business environment.
• 2+ years of experience doing CMS Payment Model Implementations.
• 2+ years of experience working with medical claims and enrollment data in large data warehouse environments with complex structure and relationships (e.g., Integrated Data Repository).
• Advanced experience with Excel (e.g., pivot tables, VBA).
• Experience with databases having complex structures and relationships, including the Integrated Data Repository or Chronic Conditions Warehouse.
• Experience in preparing data and information and contributing to reports and presentations.
• Familiarity with healthcare data/payment concepts (e.g., claims data structure/contents, claim types, payment concepts).
• Proven excellent oral and written communication skills, strong interpersonal skills, and a focus on meeting deadlines.

Responsibilities

• Perform a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid payment models.
• Support the development of payment calculations, conduct financial and trend analysis, calculate quality metrics, and perform fast‑paced ad‑hoc analysis to quickly address client needs.
• Work with clients to verify analysis parameters and specifications.
• Apply machine learning, econometrics/statistics, predictive modeling, return‑on‑investment analysis, simulation, and data visualization methods to support the development of health policy.
• Efficiently query large databases of healthcare claims and eligibility data.
• 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 using best practice quality control procedures.
• Maintain a consistently high degree of accuracy and attention to detail in all tasks.
• Work effectively and cooperatively as a member of a project teams.
• Prepare data and information for internal as well as external use, contribute to reports, and assist with project coordination tasks.

Skills

Python/SQL/R

CMS payment models

Medical claims data

Excel proficiency

Relational databases

Data preparation & reporting

Healthcare data concepts

Communication skills

Quantitative analysis

Tools

Snowflake

Databricks

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Health Data Analytics Consultant - Remote (2392982)

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

Optum Serve 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.

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, state, and other decision‑makers strengthen health and human services programs, make informed policy choices, and implement critical initiatives. The Health Data Analytics Consultant will provide support on a number of payment model implementation contracts requiring intermediate SQL or Python experience as well as knowledge of statistics and research methodology.

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

• Perform a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid payment models
• Support the development of payment calculations, conduct financial and trend analysis, calculate quality metrics, and perform fast‑paced ad‑hoc analysis to quickly address client needs
• Work with clients to verify analysis parameters and specifications
• Apply machine learning, econometrics/statistics, predictive modeling, return‑on‑investment analysis, simulation, and data visualization methods to support the development of health policy
• Efficiently query large databases of healthcare claims and eligibility data
• 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 using best practice quality control procedures
• Maintain a consistently high degree of accuracy and attention to detail in all tasks
• Work effectively and cooperatively as a member of a project teams
• Prepare data and information for internal as well as external use, contribute to reports, and assist with project coordination tasks

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 experience in health/analytics related field
• 4+ years of experience using Python, SQL or R, working with Snowflake or Databricks in a research, consulting, or business environment
• 2+ years of experience doing CMS Payment Model Implementations
• 2+ years of experience working with medical claims and enrollment data in large data warehouse environments with complex structure and relationships (e.g., Integrated Data Repository)
• Advanced experience with Excel (e.g., pivot tables, VBA)
• Experience with databases having complex structures and relationships, including the Integrated Data Repository or Chronic Conditions Warehouse
• Experience in preparing data and information and contributing to reports and presentations
• Familiarity with healthcare data/payment concepts (e.g., claims data structure/contents, claim types, payment concepts)
• Proven excellent oral and written communication skills, strong interpersonal skills, and a focus on meeting deadlines

Preferred Qualifications

• Experience conducting statistical analysis to inform health policy
• Understanding of Medicare and Medicaid payment methodologies
• Proven academic coursework in statistics, econometric modeling, or other comparable coursework

*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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1‑866‑566‑8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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