Senior Medicaid Policy & Payment Model Lead

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

Benefits offered by this job

Telecommuter Policy

Job summary

UnitedHealth Group's OptumServe Lewin Group seeks a Senior Consultant to advance Medicaid policy, payment reform, and program implementation across federal and state partners. You will translate complex policy into actionable guidance, lead multi‑team efforts, and partner with CMS staff to shape policy decisions.

This role supports national projects from anywhere in the U.S., with in‑person requirements for certain DC/Minneapolis locations four days a week.

Qualifications

• 6+ years of Medicaid policy or health policy consulting experience.
• Experience with CMS/CMMI or Medicaid policy design and implementation.
• Experience with alternative payment models and value-based care.
• Ability to lead complex workstreams and coordinate cross-functional teams.
• Strong written and verbal communication for senior clients.
• Ability to translate policy into actionable policy and tooling.

Responsibilities

• Serve as the Medicaid policy and implementation advisor to CMS and Lewin task leads.
• Lead across TMaH task teams and drive work to completion.
• Translate policy into data specs, business rules, and core payment model functions.
• Develop policy memos, briefs, roadmaps, and client-facing materials.
• Mentor colleagues and support project planning and business development.

Skills

Medicaid policy

Policy analysis

Project leadership

Cross-functional teamwork

Client communication

Data-driven decisions

Tools

CMCS Core Set

CCSQ Quality Strategy

Electronic quality measures

Job description

UnitedHealth Group's OptumServe Lewin Group seeks a Senior Consultant to advance Medicaid policy, payment reform, and program implementation across federal and state partners. You will translate complex policy into actionable guidance, lead multi‑team efforts, and partner with CMS staff to shape policy decisions.

This role supports national projects from anywhere in the U.S., with in‑person requirements for certain DC/Minneapolis locations four days a week.