Medicaid Payment Analytics Consultant — Remote Data Modeling

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

Benefits offered by this job

Benefits package

Stock purchase / Equity

401k contribution

Job summary

UnitedHealth Group's OptumCare subsidiary seeks a Health Data Analytics Consultant to support Medicaid data and policy work for CMS Innovation Center models. You will work hands-on with T-MSIS data, translating policy into data specifications and building analytic outputs using SQL and Python.

Based in the Minneapolis or Washington, D.C. area with a remote-friendly option, you will collaborate with senior analysts and policy experts to deliver accurate analyses, tables, and presentations for

Qualifications

• 3+ years of experience working with healthcare data in a consulting, research, government, or business environment.
• 1+ year of direct experience working with Medicaid data, including T-MSIS. Proficiency in SQL.
• Experience conducting quantitative analysis using healthcare claims and enrollment data.
• Experience translating business, policy, or program requirements into analytic specifications.
• Understanding of Medicaid eligibility, enrollment, claims, and encounter data.
• Familiarity with Medicaid payment and delivery systems, including managed care and fee-for-service environments.
• Excellent oral and written communication skills and strict deadlines
• Attention to detail and commitment to high-quality work.

Responsibilities

• Conduct hands-on analysis of Medicaid data, including T-MSIS data, to support payment model implementation and operations.
• Translate policy and methodology into data specifications, business rules, and analytic code.
• Develop, test, and maintain SQL code to build analytic files, define populations, and produce model outputs.
• Use Python and other analytic tools to support data processing, analysis, and quality assurance.
• Support attribution, payment calculation, quality measurement, and other operational methodologies used in healthcare payment models.
• Assess Medicaid data quality and completeness and account for differences across states and delivery systems.
• Analyze Medicaid claims, encounter, enrollment, provider, and other program data to support client needs.
• Develop and maintain documentation of specifications, methodologies, code, assumptions, and quality control procedures.
• Perform quality assurance reviews and validation checks on analytic outputs and deliverables.
• Prepare tables, reports, presentations, and other materials that summarize analytic findings for technical and non-technical audiences.
• Work with policy, operations, and analytic staff as part of project teams.

Skills

SQL

Python

Healthcare data

Data analysis

Policy translation

Job description

UnitedHealth Group's OptumCare subsidiary seeks a Health Data Analytics Consultant to support Medicaid data and policy work for CMS Innovation Center models. You will work hands-on with T-MSIS data, translating policy into data specifications and building analytic outputs using SQL and Python.

Based in the Minneapolis or Washington, D.C. area with a remote-friendly option, you will collaborate with senior analysts and policy experts to deliver accurate analyses, tables, and presentations for