Medicaid Payment Model Analytics Consultant - Remote

Job ID: 102263565504Posted: 2026-10-21Location: Eden Prairie, Minnesota, United StatesSalary: $91,700 - $163,700/yearJob Area: OptumInsight ConsultingCompany: UnitedHealth GroupFor 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 support Medicaid data and policy work for CMS Innovation Center payment models, including the LEAD model. This is a hands-on analytic role focused on working directly with Medicaid data, including T-MSIS Analytic Files (TAF), to support model implementation and operations. The consultant will help translate policy and methodology into data specifications, code, analyses, and operational outputs, including attribution, payment calculations, and quality measurement. This person will work closely with senior analysts, policy experts, and project leadership to deliver accurate, well-documented analytic products. 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:Conduct hands-on analysis of Medicaid data, including T-MSIS data, to support payment model implementation and operationsTranslate policy and methodology into data specifications, business rules, and analytic codeDevelop, test, and maintain SQL code to build analytic files, define populations, and produce model outputsUse Python and other analytic tools, as appropriate, to support data processing, analysis, and quality assuranceSupport attribution, payment calculation, quality measurement, and other operational methodologies used in healthcare payment modelsAssess Medicaid data quality and completeness and account for differences across states, delivery systems, and managed care and fee-for-service environmentsAnalyze Medicaid claims, encounter, enrollment, provider, and other program data to support client needsDevelop and maintain documentation of specifications, methodologies, code, assumptions, and quality control proceduresPerform quality assurance reviews and validation checks on analytic outputs and deliverablesPrepare tables, reports, presentations, and other materials that summarize analytic findings for technical and non-technical audiencesWork effectively and cooperatively with policy, operations, and analytic staff as a member of project teamsYou'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:3+ years of experience working with healthcare data in a consulting, research, government, or business environment1+ years of direct experience working with Medicaid data, including T-MSISExperience conducting quantitative analysis using healthcare claims and enrollment dataExperience translating business, policy, or program requirements into analytic specificationsUnderstanding of Medicaid eligibility, enrollment, claims, and encounter dataFamiliarity with Medicaid payment and delivery systems, including managed care and fee-for-service environmentsProficiency programming in SQLProven excellent oral and written communication skills and a focus on meeting deadlinesDemonstrated attention to detail and commitment to producing accurate, high-quality workPreferred Qualifications:Experience working with Medicaid data across multiple statesExperience working in the CMS Integrated Data Repository (IDR) in Snowflake or Databricks environmentsExperience working in SnowflakeProgramming experience in PythonExperience supporting healthcare payment models, value-based care programs, or alternative payment modelsExperience working in large healthcare data warehouse environments, such as the Chronic Conditions Warehouse (CCW)Experience preparing technical documentation, specifications, and analytic reports*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.