Remote Lead, Payment Model Implementation

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

Job summary

OptumCare, part of UnitedHealth Group, seeks a Senior Consultant to lead multi-disciplinary teams on payment model implementation contracts, focusing on operations, analytics, and policy analysis. Flexible remote work from anywhere in the U.S. with a requirement to work in-office four days a week in Minneapolis or Washington, D.C.

areas. The role involves client relationship development, delivering high-quality deliverables, and growth of contracts within health policy and value-based payment

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.

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.

Skills

SQL

R

Python

SAS

Tools

Snowflake

Databricks

Job description

OptumCare, part of UnitedHealth Group, seeks a Senior Consultant to lead multi-disciplinary teams on payment model implementation contracts, focusing on operations, analytics, and policy analysis. Flexible remote work from anywhere in the U.S. with a requirement to work in-office four days a week in Minneapolis or Washington, D.C.

areas. The role involves client relationship development, delivering high-quality deliverables, and growth of contracts within health policy and value-based payment