Health Data Analytics Consultant - Remote

Posted 2 Days Ago
Hiring Remotely in Reston, VA, USA
In-Office or Remote
92K-164K Annually
Mid level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Conduct quantitative analysis supporting Medicare and Medicaid payment model design, implementation, and evaluation. Analyze healthcare claims and eligibility data using Python, SQL, or R with Snowflake or Databricks. Develop payment calculations, quality metrics, financial and trend analyses, predictive models, simulations, and visualizations. Collaborate with clients, document analytical processes, prepare reports, perform quality control, and support project coordination and health policy development.
Summary Generated by Built In
Requisition Number: 2392982
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us in making healthcare work better for everyone through people-led, responsible AI while 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 SQL or Python 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.
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 Python, SQL or R, working with Snowflake or Databricks in a research, consulting, or business environment
  • 2+ years of experience doing CMS Payment Model Implementations
  • 2+ years of experience working with medical claims and enrollment data in large data warehouse environments with complex structure and relationships (e.g., Integrated Data Repository)
  • Advanced experience with Excel (e.g., pivot tables, VBA)
  • Experience with databases having complex structures and relationships, including the Integrated Data Repository or Chronic Conditions Warehouse
  • 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:
  • Experience conducting statistical analysis to inform health policy
  • Understanding of Medicare and Medicaid payment methodologies
  • Proven academic coursework in statistics, econometric modeling, or other comparable coursework

*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 - $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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Skills Required

  • 4+ years of experience in a health or analytics-related field
  • 4+ years of experience using Python, SQL, or R and working with Snowflake or Databricks in a research, consulting, or business environment
  • 2+ years of experience with CMS Payment Model Implementations
  • 2+ years of experience working with medical claims and enrollment data in large, complex data warehouse environments
  • Advanced Microsoft Excel experience, including pivot tables and VBA
  • Experience with complex databases such as the Integrated Data Repository or Chronic Conditions Warehouse
  • Experience preparing data and information and contributing to reports and presentations
  • Familiarity with healthcare data and payment concepts, including claims data structures, claim types, and payment concepts
  • Excellent oral and written communication skills, strong interpersonal skills, and ability to meet deadlines
  • Experience conducting statistical analysis to inform health policy
  • Understanding of Medicare and Medicaid payment methodologies
  • Academic coursework in statistics, econometric modeling, or comparable coursework

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Leave & Time Off Breadth — PTO is generally described as decent or good, and many note it as a strong part of the package. Actual ability to take time off can depend on workload and team coverage.
  • Retirement Support — Offerings include a 401(k) with employer match and access to an employee stock purchase plan, which are highlighted as meaningful components of total rewards. These programs are consistently referenced among core benefits.
  • Parental & Family Support — Parental and caregiver leave, along with adoption assistance, are publicly highlighted and viewed as notable elements of the package. Availability can be role-specific, but these supports contribute to overall breadth where offered.

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
Metro Manila, Philippines
Cebu, Philippines
Davao, Philippines
Ann Arbor, MI
Atlanta, GA
Baltimore, MD
Bengaluru, India
Chennai, India
Dallas, TX
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Dublin, Ireland
Hartford, CT
Houston, TX
Hyderabad, India
Jacksonville, FL
Las Vegas, NV
Letterkenny, Ireland
Louisville, KY
Madison, WI
Minneapolis, MN
Nashville, TN
New Delhi, India
Philadelphia, PA
Phoenix, AZ
Pune, India
Raleigh, NC
San Diego, CA
Washington, DC
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