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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
Lead development testing and evaluation of healthcare quality measures using claims EHR and other data sources to support Medicare and Medicaid programs. Draft measure specifications and test protocols manage project teams drive business development and client engagement track standards-setting activities and mentor staff. Translate policy and CMS specifications into technical requirements and implementation logic.
Summary Generated by Built In
Requisition Number: 2360863
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 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. We are seeking a passionate visionary and growth-oriented leader who can deliver innovate solutions to our clients. The successful candidate for Healthcare Data Analytics Consultant Quality Measurement will be an established and recognized thought leader with a strong track record in supporting quality measurement contracts and business development.
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:
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:
Preferred Qualifications:
*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 $91700 to $163700 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.
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 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. We are seeking a passionate visionary and growth-oriented leader who can deliver innovate solutions to our clients. The successful candidate for Healthcare Data Analytics Consultant Quality Measurement will be an established and recognized thought leader with a strong track record in supporting quality measurement contracts and business development.
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:
- 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
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:
- Health policy professional with 4+ 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 6+ years of experience
- Experience in leading business development and proposal response efforts including engaging with clients and partners in the business development process
- 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
- Demonstrated experience implementing or supporting eCQMs for CMS programs (e.g. IQR MIPS ACOs Innovation Center models)
- Experience working with clinical data from EHRs and/or claims data in a quality measurement context
- Broad understanding of federal or state health policy issues with ability to work in multiple areas serving as a subject matter expert
- Solid understanding of CMS quality measure specifications including numerators denominators exclusions and data completeness rules
- Proven ability to translate policy and measure specifications into technical requirements and implementation logic
Preferred Qualifications:
- 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
*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 $91700 to $163700 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.
Skills Required
- Advanced degree (M.D. D.O. Master’s or Ph.D.) with 4+ years experience or Bachelor’s degree with 6+ years experience
- Experience in leading business development and proposal response efforts
- Experience working on quality measure engagements preferably for federal programs including CMS
- Experience with data used to measure health care quality (administrative claims instrument-collected data chart-abstracted data EHR output)
- Demonstrated experience implementing or supporting eCQMs for CMS programs (IQR MIPS ACOs Innovation Center models)
- Experience working with clinical data from EHRs and/or claims data in a quality measurement context
- Solid understanding of CMS quality measure specifications (numerators denominators exclusions data completeness rules)
- Proven ability to translate policy and measure specifications into technical requirements and implementation logic
- Experience collaborating with and building consensus with diverse teams and communicating with varied technical aptitudes
- Broad understanding of federal or state health policy issues and ability to serve as subject matter expert
- Experience supporting multi-year quality measure development or implementation contracts
- Experience with complex healthcare databases (Integrated Data Repository Chronic Conditions Warehouse or similar)
What the Team is Saying
Optum Compensation & Benefits Highlights
- Leave & Time Off Breadth—PTO accrues each pay period with eight paid U.S. holidays plus a floating holiday and generous time away is consistently emphasized. This breadth supports planned and unplanned time off beyond standard vacation days.
- Parental & Family Support—Six weeks of paid parental leave up to two weeks of paid caregiver leave Bright Horizons back‑up care and adoption assistance signal strong family-oriented support. EAP access with counseling sessions further extends help to employees and their households.
- Wellbeing & Lifestyle Benefits—Company‑paid short‑ and long‑term disability Calm app membership tuition reimbursement commuter and FSA accounts and broad employee discounts expand everyday wellbeing resources. Free or low‑cost virtual visits complement these lifestyle supports.
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The Company
HQ: Eden Prairie MN
160000 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
Detroit MI
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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