Remote Medicaid Policy & Payment Model Lead

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

Job summary

Optum is seeking a Senior Consultant to lead Medicaid policy and implementation efforts in collaboration with CMS Innovation Center staff, Lewin task leads, and state partners. You will drive policy options, develop technical guidance, and support data-driven decision making across multiple task teams.

You will translate complex policy into actionable recommendations, oversee quality deliverables, and mentor colleagues while working remotely within the U.S.

Qualifications

• 6+ years of relevant professional experience in Medicaid policy or health policy consulting.
• Experience analyzing Medicaid policy, program design, payment policy, or delivery-system reforms.
• Ability to independently lead complex workstreams and drive work to completion.
• Experience coordinating cross-functional teams without direct reporting authority.
• Experience advising senior clients with clear, well-supported options.

Responsibilities

• Serve as Medicaid policy and implementation advisor supporting various models with CMS staff.
• Lead and coordinate Medicaid work across task teams, establish plans and drive activities.
• Provide policy consultation and analysis on Medicaid payment and delivery-system reforms.
• Translate policy and methodology into data specs, business rules, and code for core payment model functions.
• Develop and refine data-based simulation modeling to support model decision making.

Skills

Medicaid policy

Health policy consulting

Policy analysis

Project leadership

CMS CMS/CMCS/CMMI experience

Stakeholder management

Job description

Optum is seeking a Senior Consultant to lead Medicaid policy and implementation efforts in collaboration with CMS Innovation Center staff, Lewin task leads, and state partners. You will drive policy options, develop technical guidance, and support data-driven decision making across multiple task teams.

You will translate complex policy into actionable recommendations, oversee quality deliverables, and mentor colleagues while working remotely within the U.S.