Note: The job is a remote job and is open to candidates in USA. Optum, through The Lewin Group/OptumServe Consulting, is a national health care and human services consulting and policy analysis firm serving public, nonprofit, and private organizations. The Director, Data Analytics will lead quantitative analysis for Medicare and Medicaid payment models, advise clients, manage and mentor staff, work with healthcare claims data, and support health policy through advanced analytics and artificial intelligence.

Responsibilities

• Independently perform a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid payment models
• Develop strategic working relationships with clients
• Design payment calculations, conduct financial and trend analysis, calculate quality metrics, and perform fast-paced ad-hoc analysis to quickly address client needs
• Efficiently query large databases of healthcare claims and eligibility data
• Apply machine learning, econometrics/statistics, predictive modeling, return-on-investment analysis, simulation, and data visualization methods to support the development of health policy
• Mentor other staff to develop their technical and analytical problem-solving skills
• 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 team
• Help to oversee adoption of artificial intelligence into technical activities

Skills

• • 8+ years of experience using SQL, Python, R or SAS in a research, consulting, or business environment
• • 6+ 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 working with Medicare or Medicaid healthcare claims and enrollment data
• • Experience working with and advising clients
• • Experience in managing personnel
• • Extensive knowledge of healthcare data/payment concepts (e.g., claims data structure/contents, claim types, payment concepts)
• • Experience managing and working directly with teams operating in Snowflake and/or Databricks environments
• • Experience incorporating AI into technical workflows
• • Excellent written and oral communication skills, including the ability to clearly communicate analyses and findings to clients
• • Academic coursework in advanced statistics or econometric modeling
• • Experience supporting multi-year payment model implementation contracts
• • Experience leading statistical analysis to inform health policy
• • Experience with databases having complex structures and relationships, such as the Integrated Data Repository, Chronic Conditions Warehouse, or similar data environment
• • Experience working with Github
• • Familiarity with Medicare payment methodologies

Benefits

• Flexibility to work remotely from anywhere within the U.S.
• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Clear direction on what it takes to succeed in your role
• Development for other roles you may be interested in

Company Overview

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