Manager, Payment Model Implementation - Remote

UnitedHealth GroupWashington, DC
$112,700 - $193,200Remote

About The Position

Optum Serve Consulting/The Lewin Group (OSC/Lewin), a premier national health care and human services consulting and policy analysis firm, brings 50 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors. OSC/Lewin provides both depth and breadth of expertise in the wide-ranging field of health human services consulting. Currently, OSC/Lewin has more than 300 consultants drawn from industry, government and academia. They all share a solid commitment to OSC/Lewin’s core values of objectivity, integrity, analytical innovation, vision, and dedication to client satisfaction. At OSC/Lewin, we help federal, state, and other decision-makers strengthen health and human services programs, make informed policy choices, and implement critical initiatives. The Senior Consultant will provide support on a number of payment model implementation contracts including leading operations support, analytics, and policy analysis. In collaboration with current staff across the organization, the Senior Consultant will work to provide unparalleled client service, produce the highest quality deliverables, and innovate across the market. From a relationship and business growth perspective, s/he will support the development of new client relationships, attaining new contracts, and broadening the firm’s work. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

  • 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

Nice To Haves

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

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

Benefits

  • a comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
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