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Senior Consultant, Payment Model Implementation - Remote

$112.7k - $193.2k

Texas Health Institute

Washington DC
  • Remote job

Overview The Senior Consultant will provide support on a number of payment model implementation contracts including leading operations support, analytics, and policy analysis. In collaboration with current staff across the organization, the Senior Consultant will work to provide unparalleled client service, produce the highest quality deliverables, and innovate across the market. From a relationship and business growth perspective, s/he will support the development of new client relationships, attaining new contracts, and broadening the firm's work. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. 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 shift in your time zone. Primary Responsibilities Engage, develop, and cultivate existing client relationships through policy consultation and thought leadership Lead payment model operations and technical assistance activities, including oversight of analytics to inform model operations, for value‑based care initiatives 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 Mentor other staff to develop their technical and analytical problem‑solving skills 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 Efficiently query large databases of healthcare claims and eligibility data Perform a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid payment models Required Qualifications 6+ years of experience using SQL, R, Python, or SAS in a research, consulting, or business environment 4+ 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 translating complex findings to non‑technical audiences in both written and verbal contexts Experience successfully leading cross‑functional project teams Experience working on implementing or evaluating value‑based payment programs Experience working in Snowflake or Databricks environments Preferred Qualifications Experience supporting multi‑year payment model implementation contracts Experience with databases having complex structures and relationships, such as the Integrated Data Repository, Chronic Conditions Warehouse, or similar data environment Pay and Benefits 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 401(k) 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 $112,700 to $193,200 annually based on full‑time employment. We comply with all minimum wage laws as applicable. EEO Statement 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. Drug Policy OptumCare is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr Texas Health Institute

Vacancy posted 1 day ago
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