Health Data Analytics Consultant, Payment Model

Change Healthcare • Full-time • Reston, VA, US • $91,700 - $163,700 / year • 1d ago

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us to start Caring. Connecting. Growing together.

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.

In the wide-ranging field of health human services consulting, OSC/Lewin provides both depth and breadth of expertise. Currently, OSC/Lewin has more than 250 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 Health Data Analytics Consultant will provide support on a number of payment model implementation contracts requiring intermediate SAS, R, Python, or SQL experience as well as knowledge of statistics and research methodology.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Schedule: Monday - Friday, daylight

Primary Responsibilities

Perform a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid payment models
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
Work with clients to verify analysis parameters and specifications
Apply machine learning, econometrics/statistics, predictive modeling, return-on-investment analysis, simulation, and data visualization methods to support the development of health policy
Efficiently query large databases of healthcare claims and eligibility data
Write detailed specifications and documentation of data processing and analytical steps
Write effective and efficient code both independently and under the guidance of project managers using best practice quality control procedures
Maintain a consistently high degree of accuracy and attention to detail in all tasks
Work effectively and cooperatively as a member of a project teams
Prepare data and information for internal as well as external use, contribute to reports, and assist with project coordination tasks

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

4+ years of experience in health/analytics related field
4+ years of experience using SAS, R, Python, or SQL in a research, consulting, or business environment
Experience working with healthcare claims and enrollment data in large data warehouse environments
Experience in preparing data and information and contributing to reports and presentations
Familiarity with healthcare data/payment concepts (e.g., claims data structure/contents, claim types, payment concepts)
Proven excellent oral and written communication skills, strong interpersonal skills, and a focus on meeting deadlines

Preferred Qualifications

Academic coursework in statistics, econometric modeling, or other comparable coursework
SAS certification
Experience conducing statistical analysis to inform health policy
Experience with databases having complex structures and relationships, such as the Integrated Data Repository or Chronic Conditions Warehouse
Experience managing and analyzing large datasets using SAS grid and other parallel processing techniques
Experience with other software such as Excel (e.g., pivot tables, VBA)
Understanding of Medicare and Medicaid payment methodologies
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.