Healthcare Manager, Payment Model Implementation (CMS) - Remote

UnitedHealth Group•Washington, DC

16d•$112,700 - $193,200•Remote

About The Position

Optum Serve Consulting/The Lewin Group (OSC/Lewin) is a national health care and human services consulting and policy analysis firm. The role supports federal payment model implementation contracts through operations support, analytics, and policy analysis. The position works with staff across the organization to deliver high-quality client work, innovate, and help develop client relationships and expand the firm's work. The job is remote within the U.S., except hires in the Minneapolis or Washington, D.C. area must work in an office at least four days per week. The schedule is Monday through Friday on a daylight shift in the employee’s time zone. Remote employees must follow UnitedHealth Group’s Telecommuter Policy.

Requirements

At least 6 years of experience using SQL, R, Python, or SAS in a research, consulting, or business environment.
At least 4 years of experience working on federal health policy issues, including Medicare and Medicaid value-based payment, across multiple subject areas as a subject matter expert.
Experience translating complex findings for non-technical audiences in written and verbal contexts.
Experience successfully leading cross-functional project teams.
Experience implementing or evaluating value-based payment programs.
Experience working in Snowflake or Databricks environments.

Nice To Haves

Experience supporting multi-year payment model implementation contracts.
Experience with databases with complex structures and relationships, such as the Integrated Data Repository, Chronic Conditions Warehouse, or similar data environments.

Responsibilities

Lead multidisciplinary project teams and workstreams, setting direction and coordinating analysts, consultants, and client stakeholders to deliver strategic initiatives.
Develop and cultivate client relationships through policy consultation and thought leadership.
Lead payment model operations and technical assistance, including oversight of analytics supporting value-based care model operations.
Support payment calculations; conduct financial and trend analysis; calculate quality metrics; and perform ad hoc analyses to address client needs.
Mentor staff in technical and analytical problem-solving skills.
Maintain accuracy and attention to detail.
Work effectively and cooperatively as a project team member.
Query large healthcare claims and eligibility databases.
Conduct quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid payment models.
Support development of new client relationships, contract acquisition, and expansion of the firm's work.