Manager, Payment Model Implementation - Remote

Optum; Washington (District of Columbia); Hybrid; USD 113,000 - 193,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Job summary

Optum is seeking a Senior Consultant for OSC/Lewin to support payment model implementation, analytics, and policy analysis. The role involves leading cross-disciplinary teams, developing client relationships, and delivering high-quality deliverables. Remote work across the U.S.

is allowed, with in-office four days a week in the DC/Minneapolis area. You will engage on Medicare/Medicaid value-based models, oversee analytics for model operations, and mentor staff while delivering impactful health

Qualifications

• 6+ years of experience using SQL, R, Python, or SAS in a research, consulting, or business environment.
• 4+ years of experience working on federal health policy issues, including Medicare and Medicaid value-based payment.
• Experience translating complex findings to non-technical audiences in written and verbal contexts.
• Experience successfully leading cross-functional project teams.
• Experience working on implementing or evaluating value-based payment programs.
• Experience working in Snowflake or Databricks environments.

Responsibilities

• Lead multi-disciplinary project teams and workstreams to ensure successful delivery of strategic initiatives.
• Engage and develop client relationships through policy consultation and thought leadership.
• Oversee payment model operations and analytics for value-based care initiatives.
• Develop payment calculations, conduct financial and trend analyses, and perform ad-hoc analysis.
• Mentor staff to develop analytical problem-solving skills and maintain high accuracy.
• Query large healthcare claims databases and perform quantitative analysis for model design and evaluation.

Skills

SQL

R

Python

SAS

Federal health policy experience

Tools

Snowflake

Databricks

Job description

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 to start 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 300 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 Senior Consultant will provide support on a number of payment model implementation contracts including leading operations support, analytics, and policy analysis. In collaboration with current staff across the organization, the Senior Consultant will work to provide unparalleled client service, produce the highest quality deliverables, and innovate across the market. From a relationship and business growth perspective, s/he will support the development of new client relationships, attaining new contracts, and broadening the firm's work.

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.

Schedule

Monday - Friday, daylight shift in your time zone

Primary Responsibilities

• Lead multi-disciplinary project teams and workstreams, provide direction, prioritization and coordination across analysts, consultants, and client stakeholders to ensure successful delivery of strategic initiatives
• Engage, develop, and cultivate existing client relationships through policy consultation and thought leadership
• Lead payment model operations and technical assistance activities, including oversight of analytics to inform model operations, for value-based care initiatives
• 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
• Mentor other staff to develop their technical and analytical problem-solving skills
• 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
• Efficiently query large databases of healthcare claims and eligibility data
• Perform a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid payment models

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

• 6+ years of experience using SQL, R, Python, or SAS in a research, consulting, or business environment
• 4+ 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 translating complex findings to non-technical audiences in both written and verbal contexts
• Experience successfully leading cross-functional project teams
• Experience working on implementing or evaluating value-based payment programs
• Experience working in Snowflake or Databricks environments

Preferred Qualifications

• Experience supporting multi-year payment model implementation contracts
• Experience with databases having complex structures and relationships, such as the Integrated Data Repository, Chronic Conditions Warehouse, or similar data environment
• 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.

• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

The salary for this role will range from $112,700 to $193,200 annually based on full-time employment.

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.

OptumCare 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.

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