Remote Healthcare Data Analytics Director AI & Policy

ISHE; Reston, Northern (VA, KY); Hybrid; USD 135,000 - 231,000; Full time

Benefits offered by this job

Telecommuter Policy

Comprehensive benefits

Incentive programs

Equity stock purchase

401k contribution

Job summary

OptumCare seeks a senior data analyst to lead quantitative analyses informing Medicare and Medicaid payment designs. You will build client relationships, design calculations, and guide teams in data processing and AI-enabled workflows.

The role requires 8+ years with SQL/Python/R or SAS, and experience with Snowflake/Databricks. Remote work nationwide with in-office days in DC/Minneapolis as per policy, and a comprehensive benefits package.

Qualifications

• 8+ years of experience using SQL, Python, R or SAS in a research, consulting, or business environment.
• 6+ years of experience working on federal health policy issues, including Medicare and Medicaid value-based payment.
• Experience working with Medicare or Medicaid healthcare claims and enrollment data.
• Experience working with and advising clients.
• Experience in managing personnel.
• Extensive knowledge of healthcare data/payment concepts (e.g., claims data structure/contents, claim types, payment concepts)
• Experience managing and working directly with teams operating in Snowflake and/or Databricks environments.
• Experience incorporating AI into technical workflows.
• Excellent written and oral communication skills, including the ability to clearly communicate analyses and findings to clients.

Responsibilities

• Independently perform a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid payment models.
• Develop strategic working relationships with clients.
• Design payment calculations, conduct financial and trend analysis, calculate quality metrics, and perform fast-paced ad-hoc analysis to quickly address client needs.
• Efficiently query large databases of healthcare claims and eligibility data.
• Apply machine learning, econometrics/statistics, predictive modeling, return-on-investment analysis, simulation, and data visualization methods to support the development of health policy.
• Mentor other staff to develop their technical and analytical problem-solving skills.
• 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 team.
• Help to oversee adoption of artificial intelligence into technical activities.

Skills

SQL

Python

R/SAS

Tools

Snowflake

Databricks

GitHub

Job description

OptumCare seeks a senior data analyst to lead quantitative analyses informing Medicare and Medicaid payment designs. You will build client relationships, design calculations, and guide teams in data processing and AI-enabled workflows.

The role requires 8+ years with SQL/Python/R or SAS, and experience with Snowflake/Databricks. Remote work nationwide with in-office days in DC/Minneapolis as per policy, and a comprehensive benefits package.