Manager, Quality Measures - Remote

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

Job summary

Optum in the United States seeks a Senior Consultant, Quality Measurement to lead complex health policy initiatives and measure development programs. The role emphasizes thought leadership, client engagement, and delivering innovative measurement solutions across CMS and related programs.

You will work remotely from anywhere in the U.S., with a requirement to be in the Minneapolis or Washington, D.C. area for in-office days as needed, and you will guide analytics teams and client relationships

Qualifications

• Health policy professional with 6+ years in health services research, evaluation or policy.
• Experience leading business development and proposals with clients/partners.
• Broad understanding of federal or state health policy issues across domains.
• Experience on quality measure engagements, preferably CMS-related.
• Experience collaborating with diverse teams and communicating across technical backgrounds.

Responsibilities

• Evaluate evidence on effectiveness for clinical measures across data sources per CMS/NQF requirements.
• Develop test measure protocols and measure specifications.
• Perform quantitative analysis to inform quality measurement for Medicare/Medicaid.
• Track standards-setting committees and consensus bodies like NQF.
• Draft and manage proposals for measure development, testing, maintenance, implementation.
• Grow client relationships through policy consultation and thought leadership.
• Support strategy for long-term organizational growth with leadership.
• Lead project delivery teams and mentor junior staff.

Skills

Health policy expertise

Policy analysis

Business development

Stakeholder engagement

Leadership

Education

Advanced degree (M.D., D.O., Master’s, or Ph.D.)

Bachelor’s + 8+ years experience

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 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.

We are seeking a passionate, visionary, and growth‑oriented leader who can deliver innovative solutions to our clients.

The successful candidate for Senior Consultant, Quality Measurement will be an established and recognized thought leader with a strong track record in supporting quality measurement contracts and business development.

You’ll enjoy the flexibility to work remote 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 hours in your time zone

Primary Responsibilities

• Evaluate evidence on effectiveness for clinical measures derived from administrative or claims data, health records, electronic health records, other data sources in compliance with Centers for Medicare & Medicaid Services (CMS), the Agency for Healthcare Research and Quality, and the National Quality Forum (NQF) requirements
• Develop test measure protocols and measure specifications
• Perform a broad range of quantitative analysis to inform quality measurement for Medicare and Medicaid payment models
• Track activities of key standards‑setting committees and consensus‑based organizations such as NQF
• Draft and manage proposals for new projects related to measure development, testing, maintenance, and implementation
• Engage, develop, cultivate and expand new and existing client relationships through policy consultation and thought leadership.
• Support the continued development of existing strategy to fuel long‑term organizational growth in partnership with organizational leadership.
• Manage project delivery teams responsible for day‑to‑day project execution
• Mentor other team members to develop their technical and analytical problem‑solving skills

Required Qualifications

• Health policy professional with 6+ years industry experience in health services research, evaluation and/or policy including strong analytic skills and advanced degree (M.D., D.O., Master's degree, or Ph.D.) in medicine, economics, health policy research, or similar discipline OR a Bachelor's degree with 8+ years of experience.
• Experience in leading business development and proposal response efforts, including engaging with clients and partners in the business development process.
• Broad understanding of federal or state health policy issues, with ability to work in multiple areas serving as a subject matter expert
• Experience working on quality measure engagements, preferably for federal programs, including those at CMS
• Experience working with various types of data used to measure health care quality (e.g., administrative claims, instrument‑collected data, chart‑abstracted data, EHR output)
• Experience collaborating with and building consensus with diverse teams ability to communicate with individuals of varying technical aptitudes and professional backgrounds

Preferred Qualifications

• Experience supporting multi‑year quality measure development or 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. The salary for this role will range from $112,700 to $193,200 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.

Equal Employment Opportunity

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.

Equal Employment Opportunity Employer

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.

Drug‑Free Workplace

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