Senior Consultant, Quality Measurement - Remote

UnitedHealth GroupReston, VA
Remote

About The Position

Optum Serve Consulting/The Lewin Group (OSC/Lewin), a premier national health care and human services consulting and policy analysis firm with 50 years of experience, is seeking a passionate, visionary, and growth-oriented leader. The firm helps federal, state, and other decision-makers strengthen health and human services programs, make informed policy choices, and implement critical initiatives. The successful candidate for Senior Consultant, Quality Measurement will be an established and recognized thought leader with a strong track record in supporting quality measurement contracts and business development. This role offers the flexibility to work remotely from anywhere within the U.S., though hires in the Minneapolis or Washington, D.C. area will be required to work in the office a minimum of four days per week.

Requirements

  • Health policy professional with 6+ years industry experience in health services research, evaluation and/or policy including strong analytic skills and advanced degree (M.D., D.O., Master’s degree, or Ph.D.) in medicine, economics, health policy research, or similar discipline OR a Bachelor’s degree with 8+ years of experience.
  • Experience in leading business development and proposal response efforts, including engaging with clients and partners in the business development process.
  • Broad understanding of federal or state health policy issues, with ability to work in multiple areas serving as a subject matter expert
  • Experience working on quality measure engagements, preferably for federal programs, including those at CMS
  • Experience working with various types of data used to measure health care quality (e.g., administrative claims, instrument-collected data, chart-abstracted data, EHR output)
  • Experience collaborating with and building consensus with diverse teams ability to communicate with individuals of varying technical aptitudes and professional backgrounds

Nice To Haves

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

Responsibilities

  • Evaluate evidence on effectiveness for clinical measures derived from administrative or claims data, health records, electronic health records, other data sources in compliance with Centers for Medicare & Medicaid Services (CMS), the Agency for Healthcare Research and Quality, and the National Quality Forum (NQF) requirements
  • Develop test measure protocols and measure specifications
  • Perform a broad range of quantitative analysis to inform quality measurement for Medicare and Medicaid payment models
  • Track activities of key standards-setting committees and consensus-based organizations such as NQF
  • Draft and manage proposals for new projects related to measure development, testing, maintenance, and implementation
  • Engage, develop, cultivate and expand new and existing client relationships through policy consultation and thought leadership.
  • Support the continued development of existing strategy to fuel long-term organizational growth in partnership with organizational leadership.
  • Manage project delivery teams responsible for day-to-day project execution
  • Mentor other team members to develop their technical and analytical problem-solving skills

Benefits

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